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 $151.36 Median $151.36 Typical High $151.36 | Facility | None | $151.36 | $151.36 | $151.36 |
Aetna Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $154.88 | Professional | None | $151.36 | $151.36 | $154.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $1,071.52 | Facility | None | $1,023.29 | $1,023.29 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $208.93 | Professional | None | $190.55 | $190.55 | $208.93 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $398.11 Typical High $1,174.90 | Facility | None | $338.84 | $398.11 | $1,174.90 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $87.10 Typical High $199.53 | Professional | None | $38.02 | $87.10 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $165.96 Typical High $549.54 | Facility | None | $79.43 | $165.96 | $549.54 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $251.19 | Professional | None | $83.18 | $83.18 | $251.19 |
United Setting Facility Modifier None Typical Low $173.78 Median $173.78 Typical High $229.09 | Facility | None | $173.78 | $173.78 | $229.09 |
United Setting Professional Modifier None Typical Low $41.69 Median $81.28 Typical High $154.88 | Professional | None | $41.69 | $81.28 | $154.88 |
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 $74.13 Median $74.13 Typical High $77.62 | Professional | 52 · Reduced service | $74.13 | $74.13 | $77.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | 53 · Discontinued | $30.20 | $30.20 | $30.90 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $41.69 Median $41.69 Typical High $144.54 | Professional | 51 · Multiple procedures | $41.69 | $41.69 | $144.54 |
Where South Carolina sits
The same service costs 5.4 times more in Texas than in Ohio. 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· 26th of 51
$151
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.