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 $190.55 Median $190.55 Typical High $190.55 | Facility | None | $190.55 | $190.55 | $190.55 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $194.98 | Professional | None | $190.55 | $190.55 | $194.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,318.26 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $158.49 Median $229.09 Typical High $281.84 | Professional | None | $158.49 | $229.09 | $281.84 |
Cigna Setting Facility Modifier None Typical Low $467.74 Median $630.96 Typical High $1,513.56 | Facility | None | $467.74 | $630.96 | $1,513.56 |
Cigna Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $257.04 | Professional | None | $112.20 | $114.82 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $229.09 Typical High $707.95 | Facility | None | $190.55 | $229.09 | $707.95 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $346.74 | Professional | None | $245.47 | $245.47 | $346.74 |
United Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $295.12 | Facility | None | $223.87 | $223.87 | $295.12 |
United Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $245.47 | Professional | None | $104.71 | $147.91 | $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 $95.50 Median $95.50 Typical High $97.72 | Professional | 52 · Reduced service | $95.50 | $95.50 | $97.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | 53 · Discontinued | $38.90 | $38.90 | $39.81 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $123.03 Typical High $199.53 | Professional | 51 · Multiple procedures | $123.03 | $123.03 | $199.53 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Connecticut. 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
$191
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.