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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $269.15 | Professional | None | $263.03 | $263.03 | $269.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,862.09 | Facility | None | $1,819.70 | $1,819.70 | $1,862.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $338.84 | Professional | None | $128.82 | $186.21 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $707.95 Typical High $2,089.30 | Facility | None | $645.65 | $707.95 | $2,089.30 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $158.49 Typical High $354.81 | Professional | None | $60.26 | $158.49 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $288.40 Typical High $977.24 | Facility | None | $123.03 | $288.40 | $977.24 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $436.52 | Professional | None | $128.82 | $128.82 | $436.52 |
United Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $407.38 | Facility | None | $302.00 | $302.00 | $407.38 |
United Setting Professional Modifier None Typical Low $64.57 Median $141.25 Typical High $269.15 | Professional | None | $64.57 | $141.25 | $269.15 |
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 $131.83 Median $131.83 Typical High $134.90 | Professional | 52 · Reduced service | $131.83 | $131.83 | $134.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $52.48 Median $52.48 Typical High $53.70 | Professional | 53 · Discontinued | $52.48 | $52.48 | $53.70 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $251.19 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $251.19 |
Where South Carolina sits
The same service costs 6.6 times more in Texas than in Kentucky. 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· 41st 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.