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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | None | $239.88 | $239.88 | $245.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Facility | None | $1,659.59 | $1,659.59 | $1,698.24 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $309.03 | Professional | None | $128.82 | $186.21 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $660.69 Typical High $1,905.46 | Facility | None | $588.84 | $660.69 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $144.54 Typical High $323.59 | Professional | None | $74.13 | $144.54 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $891.25 | Facility | None | $151.36 | $263.03 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $398.11 | Professional | None | $162.18 | $162.18 | $398.11 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Facility | None | $275.42 | $275.42 | $371.54 |
United Setting Professional Modifier None Typical Low $81.28 Median $128.82 Typical High $245.47 | Professional | None | $81.28 | $128.82 | $245.47 |
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 $120.23 Median $120.23 Typical High $123.03 | Professional | 52 · Reduced service | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 53 · Discontinued | $47.86 | $47.86 | $48.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $229.09 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $229.09 |
Where South Carolina sits
The same service costs 5.9 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· 44th of 51
$186
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.