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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $933.25 | Professional | None | $912.01 | $912.01 | $933.25 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | 52 · Reduced service | $457.09 | $457.09 | $467.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $181.97 Median $181.97 Typical High $186.21 | Professional | 53 · Discontinued | $181.97 | $181.97 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,288.25 | Professional | None | $1,202.26 | $1,202.26 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $2,238.72 Median $2,511.89 Typical High $7,413.10 | Facility | None | $2,238.72 | $2,511.89 | $7,413.10 |
Cigna Setting Professional Modifier None Typical Low $524.81 Median $891.25 Typical High $1,445.44 | Professional | None | $524.81 | $891.25 | $1,445.44 |
Medcost Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $3,467.37 | Facility | None | $912.01 | $1,096.48 | $3,467.37 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,621.81 | Professional | None | $933.25 | $933.25 | $1,621.81 |
United Setting Facility Modifier None Typical Low $1,071.52 Median $1,071.52 Typical High $1,445.44 | Facility | None | $1,071.52 | $1,071.52 | $1,445.44 |
United Setting Professional Modifier None Typical Low $489.78 Median $691.83 Typical High $1,148.15 | Professional | None | $489.78 | $691.83 | $1,148.15 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $467.74 Typical High $933.25 | Professional | 51 · Multiple procedures | $467.74 | $467.74 | $933.25 |
Where South Carolina sits
The same service costs 5.4 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· 24th of 51
$1,072
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.