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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | None | $257.04 | $257.04 | $263.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $1,778.28 Typical High $1,819.70 | Facility | None | $1,778.28 | $1,778.28 | $1,819.70 |
BCBS South Carolina Setting Professional Modifier None Typical Low $234.42 Median $331.13 Typical High $398.11 | Professional | None | $234.42 | $331.13 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $630.96 Median $831.76 Typical High $2,041.74 | Facility | None | $630.96 | $831.76 | $2,041.74 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $346.74 | Professional | None | $120.23 | $154.88 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $245.47 Median $281.84 Typical High $954.99 | Facility | None | $245.47 | $281.84 | $954.99 |
Medcost Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $426.58 | Professional | None | $257.04 | $257.04 | $426.58 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $398.11 | Facility | None | $295.12 | $295.12 | $398.11 |
United Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $302.00 | Professional | None | $128.82 | $169.82 | $302.00 |
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 $128.82 Median $128.82 Typical High $131.83 | Professional | 52 · Reduced service | $128.82 | $128.82 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $51.29 | $52.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $128.82 Median $128.82 Typical High $245.47 | Professional | 51 · Multiple procedures | $128.82 | $128.82 | $245.47 |
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· 35th of 51
$257
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.