How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | None | $64.57 | $64.57 | $66.07 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | 52 · Reduced service | $32.36 | $32.36 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Facility | None | $446.68 | $446.68 | $457.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $89.13 | Professional | None | $83.18 | $83.18 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $158.49 Median $208.93 Typical High $512.86 | Facility | None | $158.49 | $208.93 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $45.71 Typical High $100.00 | Professional | None | $38.02 | $45.71 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $77.62 Typical High $239.88 | Facility | None | $64.57 | $77.62 | $239.88 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | None | $75.86 | $75.86 | $117.49 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $100.00 | Facility | None | $74.13 | $74.13 | $100.00 |
United Setting Professional Modifier None Typical Low $34.67 Median $47.86 Typical High $83.18 | Professional | None | $34.67 | $47.86 | $83.18 |
1 more rate with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $38.02 Typical High $66.07 | Professional | 51 · Multiple procedures | $38.02 | $38.02 | $66.07 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
South Carolina· 33rd of 51
$75.86
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.