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 $165.96 Median $165.96 Typical High $165.96 | Facility | None | $165.96 | $165.96 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $169.82 | Professional | None | $165.96 | $165.96 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,174.90 | Facility | None | $1,148.15 | $1,148.15 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $151.36 Median $208.93 Typical High $257.04 | Professional | None | $151.36 | $208.93 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $537.03 Typical High $1,318.26 | Facility | None | $407.38 | $537.03 | $1,318.26 |
Cigna Setting Professional Modifier None Typical Low $70.79 Median $100.00 Typical High $223.87 | Professional | None | $70.79 | $100.00 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $181.97 Typical High $616.60 | Facility | None | $144.54 | $181.97 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $275.42 | Professional | None | $151.36 | $151.36 | $275.42 |
United Setting Facility Modifier None Typical Low $190.55 Median $190.55 Typical High $257.04 | Facility | None | $190.55 | $190.55 | $257.04 |
United Setting Professional Modifier None Typical Low $75.86 Median $107.15 Typical High $194.98 | Professional | None | $75.86 | $107.15 | $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 $83.18 Median $83.18 Typical High $85.11 | Professional | 52 · Reduced service | $83.18 | $83.18 | $85.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $33.11 Median $33.11 Typical High $33.88 | Professional | 53 · Discontinued | $33.11 | $33.11 | $33.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $158.49 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $158.49 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Oklahoma. 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· 40th of 51
$166
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.