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 $93.33 Median $93.33 Typical High $93.33 | Facility | None | $93.33 | $93.33 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | None | $93.33 | $93.33 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $660.69 | Facility | None | $645.65 | $645.65 | $660.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $120.23 Median $251.19 Typical High $323.59 | Professional | None | $120.23 | $251.19 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $302.00 Typical High $741.31 | Facility | None | $229.09 | $302.00 | $741.31 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $66.07 Typical High $144.54 | Professional | None | $54.95 | $66.07 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $346.74 | Facility | None | $93.33 | $112.20 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $169.82 | Professional | None | $120.23 | $120.23 | $169.82 |
United Setting Facility Modifier None Typical Low $107.15 Median $107.15 Typical High $144.54 | Facility | None | $107.15 | $107.15 | $144.54 |
United Setting Professional Modifier None Typical Low $50.12 Median $72.44 Typical High $120.23 | Professional | None | $50.12 | $72.44 | $120.23 |
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 $46.77 Median $46.77 Typical High $47.86 | Professional | 52 · Reduced service | $46.77 | $46.77 | $47.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 53 · Discontinued | $18.62 | $18.62 | $19.05 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $60.26 Typical High $95.50 | Professional | 51 · Multiple procedures | $60.26 | $60.26 | $95.50 |
Where South Carolina sits
The same service costs 5.9 times more in Texas 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· 27th of 51
$120
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.