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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $281.84 | Professional | None | $269.15 | $269.15 | $281.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,862.09 Median $1,862.09 Typical High $1,905.46 | Facility | None | $1,862.09 | $1,862.09 | $1,905.46 |
BCBS South Carolina Setting Professional Modifier None Typical Low $346.74 Median $398.11 Typical High $588.84 | Professional | None | $346.74 | $398.11 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $891.25 Typical High $2,137.96 | Facility | None | $660.69 | $891.25 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $158.49 Median $181.97 Typical High $363.08 | Professional | None | $158.49 | $181.97 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $1,000.00 | Facility | None | $269.15 | $323.59 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $489.78 | Professional | None | $398.11 | $398.11 | $489.78 |
United Setting Facility Modifier None Typical Low $316.23 Median $316.23 Typical High $416.87 | Facility | None | $316.23 | $316.23 | $416.87 |
United Setting Professional Modifier None Typical Low $147.91 Median $208.93 Typical High $398.11 | Professional | None | $147.91 | $208.93 | $398.11 |
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 $134.90 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $54.95 Median $54.95 Typical High $56.23 | Professional | 53 · Discontinued | $54.95 | $54.95 | $56.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $199.53 Median $199.53 Typical High $316.23 | Professional | 51 · Multiple procedures | $199.53 | $199.53 | $316.23 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 25th of 51
$347
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.