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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | None | $134.90 | $134.90 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $933.25 Median $933.25 Typical High $954.99 | Facility | None | $933.25 | $933.25 | $954.99 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $204.17 Typical High $302.00 | Professional | None | $173.78 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $436.52 Typical High $1,071.52 | Facility | None | $323.59 | $436.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $95.50 Typical High $181.97 | Professional | None | $79.43 | $95.50 | $181.97 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $162.18 Typical High $501.19 | Facility | None | $134.90 | $162.18 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $239.88 | Professional | None | $204.17 | $204.17 | $239.88 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Facility | None | $154.88 | $154.88 | $208.93 |
United Setting Professional Modifier None Typical Low $72.44 Median $104.71 Typical High $204.17 | Professional | None | $72.44 | $104.71 | $204.17 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $26.92 | $26.92 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $102.33 Median $102.33 Typical High $162.18 | Professional | 51 · Multiple procedures | $102.33 | $102.33 | $162.18 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Delaware. 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· 28th of 51
$174
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.