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 $1,548.82 Median $1,548.82 Typical High $1,621.81 | Facility | None | $1,548.82 | $1,548.82 | $1,621.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $263.03 Median $288.40 Typical High $380.19 | Professional | None | $263.03 | $288.40 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $549.54 Median $741.31 Typical High $1,778.28 | Facility | None | $549.54 | $741.31 | $1,778.28 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $138.04 Typical High $354.81 | Professional | None | $131.83 | $138.04 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $229.09 Median $275.42 Typical High $831.76 | Facility | None | $229.09 | $275.42 | $831.76 |
Medcost Setting Professional Modifier None Typical Low $288.40 Median $288.40 Typical High $407.38 | Professional | None | $288.40 | $288.40 | $407.38 |
United Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $346.74 | Facility | None | $263.03 | $263.03 | $346.74 |
United Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $288.40 | Professional | None | $123.03 | $173.78 | $288.40 |
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 $46.77 | Professional | 53 · Discontinued | $45.71 | $45.71 | $46.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $144.54 Median $144.54 Typical High $234.42 | Professional | 51 · Multiple procedures | $144.54 | $144.54 | $234.42 |
Where South Carolina sits
The same service costs 4.5 times more in Texas than in Delaware. 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· 31st 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.