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 $158.49 Median $158.49 Typical High $158.49 | Facility | None | $158.49 | $158.49 | $158.49 |
Aetna Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | None | $158.49 | $158.49 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $234.42 Median $436.52 Typical High $1,230.27 | Facility | None | $234.42 | $436.52 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $199.53 Median $275.42 Typical High $416.87 | Professional | None | $199.53 | $275.42 | $416.87 |
Cigna Setting Facility Modifier None Typical Low $380.19 Median $512.86 Typical High $1,230.27 | Facility | None | $380.19 | $512.86 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $213.80 | Professional | None | $100.00 | $128.82 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $575.44 | Facility | None | $158.49 | $190.55 | $575.44 |
Medcost Setting Professional Modifier None Typical Low $239.88 Median $275.42 Typical High $281.84 | Professional | None | $239.88 | $275.42 | $281.84 |
United Setting Facility Modifier None Typical Low $181.97 Median $181.97 Typical High $239.88 | Facility | None | $181.97 | $181.97 | $239.88 |
United Setting Professional Modifier None Typical Low $85.11 Median $138.04 Typical High $239.88 | Professional | None | $85.11 | $138.04 | $239.88 |
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 $79.43 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $79.43 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | 53 · Discontinued | $31.62 | $31.62 | $32.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $138.04 Median $138.04 Typical High $186.21 | Professional | 51 · Multiple procedures | $138.04 | $138.04 | $186.21 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska 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· 27th of 51
$200
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.