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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $213.80 Median $213.80 Typical High $218.78 | Professional | None | $213.80 | $213.80 | $218.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Facility | None | $1,479.11 | $1,479.11 | $1,513.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $380.19 | Professional | None | $269.15 | $275.42 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $524.81 Median $691.83 Typical High $1,698.24 | Facility | None | $524.81 | $691.83 | $1,698.24 |
Cigna Setting Professional Modifier None Typical Low $125.89 Median $128.82 Typical High $331.13 | Professional | None | $125.89 | $128.82 | $331.13 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $257.04 Typical High $794.33 | Facility | None | $213.80 | $257.04 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | None | $275.42 | $275.42 | $389.05 |
United Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $331.13 | Facility | None | $245.47 | $245.47 | $331.13 |
United Setting Professional Modifier None Typical Low $114.82 Median $165.96 Typical High $275.42 | Professional | None | $114.82 | $165.96 | $275.42 |
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 $107.15 Median $107.15 Typical High $109.65 | Professional | 52 · Reduced service | $107.15 | $107.15 | $109.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | 53 · Discontinued | $42.66 | $42.66 | $43.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $218.78 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $218.78 |
Where South Carolina sits
The same service costs 5.0 times more in Texas 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· 27th of 51
$269
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.