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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $109.65 | Professional | None | $107.15 | $107.15 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Facility | None | $741.31 | $741.31 | $758.58 |
BCBS South Carolina Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $147.91 | Professional | None | $89.13 | $117.49 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $257.04 Median $346.74 Typical High $851.14 | Facility | None | $257.04 | $346.74 | $851.14 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $64.57 Typical High $165.96 | Professional | None | $61.66 | $64.57 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $128.82 Typical High $398.11 | Facility | None | $107.15 | $128.82 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $190.55 | Professional | None | $138.04 | $138.04 | $190.55 |
United Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $165.96 | Facility | None | $123.03 | $123.03 | $165.96 |
United Setting Professional Modifier None Typical Low $57.54 Median $81.28 Typical High $138.04 | Professional | None | $57.54 | $81.28 | $138.04 |
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 $53.70 Median $53.70 Typical High $54.95 | Professional | 52 · Reduced service | $53.70 | $53.70 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | 53 · Discontinued | $21.38 | $21.38 | $21.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $69.18 Typical High $109.65 | Professional | 51 · Multiple procedures | $69.18 | $69.18 | $109.65 |
Where South Carolina sits
The same service costs 5.2 times more in Texas 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· 42nd of 51
$107
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.