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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | None | $204.17 | $204.17 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,584.89 | Facility | None | $1,548.82 | $1,548.82 | $1,584.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $112.20 Median $162.18 Typical High $263.03 | Professional | None | $112.20 | $162.18 | $263.03 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,621.81 | Facility | None | $489.78 | $660.69 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $275.42 | Professional | None | $128.82 | $165.96 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $758.58 | Facility | None | $204.17 | $245.47 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $354.81 Typical High $363.08 | Professional | None | $316.23 | $354.81 | $363.08 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Facility | None | $234.42 | $234.42 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $177.83 Typical High $316.23 | Professional | None | $109.65 | $177.83 | $316.23 |
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 $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $40.74 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $177.83 Median $177.83 Typical High $239.88 | Professional | 51 · Multiple procedures | $177.83 | $177.83 | $239.88 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Alabama. 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· 47th of 51
$204
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.