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 $239.88 Median $239.88 Typical High $239.88 | Facility | None | $239.88 | $239.88 | $239.88 |
Aetna Setting Professional Modifier None Typical Low $239.88 Median $239.88 Typical High $245.47 | Professional | None | $239.88 | $239.88 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $169.82 Typical High $309.03 | Professional | None | $128.82 | $169.82 | $309.03 |
Cigna Setting Facility Modifier None Typical Low $588.84 Median $776.25 Typical High $1,905.46 | Facility | None | $588.84 | $776.25 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $371.54 | Professional | None | $141.25 | $147.91 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $239.88 Median $288.40 Typical High $891.25 | Facility | None | $239.88 | $288.40 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $426.58 | Professional | None | $245.47 | $245.47 | $426.58 |
United Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $371.54 | Facility | None | $275.42 | $275.42 | $371.54 |
United Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $309.03 | Professional | None | $128.82 | $186.21 | $309.03 |
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 $120.23 Median $120.23 Typical High $123.03 | Professional | 52 · Reduced service | $120.23 | $120.23 | $123.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | 53 · Discontinued | $47.86 | $47.86 | $48.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $123.03 Median $123.03 Typical High $245.47 | Professional | 51 · Multiple procedures | $123.03 | $123.03 | $245.47 |
Where South Carolina sits
The same service costs 4.6 times more in Texas 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· 42nd of 51
$240
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.