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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $426.58 | Professional | None | $407.38 | $407.38 | $426.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,884.03 | Facility | None | $2,818.38 | $2,818.38 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $575.44 Typical High $616.60 | Professional | None | $524.81 | $575.44 | $616.60 |
Cigna Setting Facility Modifier None Typical Low $1,000.00 Median $1,348.96 Typical High $3,235.94 | Facility | None | $1,000.00 | $1,348.96 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $239.88 Median $288.40 Typical High $630.96 | Professional | None | $239.88 | $288.40 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $1,513.56 | Facility | None | $407.38 | $489.78 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $741.31 | Professional | None | $524.81 | $524.81 | $741.31 |
United Setting Facility Modifier None Typical Low $478.63 Median $478.63 Typical High $630.96 | Facility | None | $478.63 | $478.63 | $630.96 |
United Setting Professional Modifier None Typical Low $223.87 Median $316.23 Typical High $524.81 | Professional | None | $223.87 | $316.23 | $524.81 |
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 $204.17 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | 53 · Discontinued | $83.18 | $83.18 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $263.03 Median $263.03 Typical High $426.58 | Professional | 51 · Multiple procedures | $263.03 | $263.03 | $426.58 |
Where South Carolina sits
The same service costs 4.5 times more in Texas than in New Mexico. 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· 23rd of 51
$525
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.