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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $234.42 | Professional | None | $229.09 | $229.09 | $234.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,584.89 Median $1,584.89 Typical High $1,621.81 | Facility | None | $1,584.89 | $1,584.89 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $263.03 Median $295.12 Typical High $398.11 | Professional | None | $263.03 | $295.12 | $398.11 |
Cigna Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $1,819.70 | Facility | None | $562.34 | $758.58 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $141.25 Typical High $354.81 | Professional | None | $134.90 | $141.25 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $851.14 | Facility | None | $229.09 | $275.42 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $416.87 | Professional | None | $295.12 | $295.12 | $416.87 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $354.81 | Facility | None | $269.15 | $269.15 | $354.81 |
United Setting Professional Modifier None Typical Low $123.03 Median $177.83 Typical High $295.12 | Professional | None | $123.03 | $177.83 | $295.12 |
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 $114.82 Median $114.82 Typical High $117.49 | Professional | 52 · Reduced service | $114.82 | $114.82 | $117.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $45.71 Median $45.71 Typical High $47.86 | Professional | 53 · Discontinued | $45.71 | $45.71 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $147.91 Median $147.91 Typical High $234.42 | Professional | 51 · Multiple procedures | $147.91 | $147.91 | $234.42 |
Where South Carolina sits
The same service costs 3.8 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· 34th of 51
$263
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.