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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | None | $151.36 | $151.36 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Facility | None | $1,047.13 | $1,047.13 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $177.83 Median $194.98 Typical High $269.15 | Professional | None | $177.83 | $194.98 | $269.15 |
Cigna Setting Facility Modifier None Typical Low $363.08 Median $489.78 Typical High $1,202.26 | Facility | None | $363.08 | $489.78 | $1,202.26 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $93.33 Typical High $234.42 | Professional | None | $87.10 | $93.33 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $181.97 Typical High $562.34 | Facility | None | $151.36 | $181.97 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $269.15 | Professional | None | $194.98 | $194.98 | $269.15 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $234.42 | Facility | None | $173.78 | $173.78 | $234.42 |
United Setting Professional Modifier None Typical Low $81.28 Median $114.82 Typical High $194.98 | Professional | None | $81.28 | $114.82 | $194.98 |
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 $75.86 Median $75.86 Typical High $77.62 | Professional | 52 · Reduced service | $75.86 | $75.86 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $97.72 Median $97.72 Typical High $158.49 | Professional | 51 · Multiple procedures | $97.72 | $97.72 | $158.49 |
Where South Carolina sits
The same service costs 3.7 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· 33rd of 51
$178
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.