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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $323.59 | Professional | None | $316.23 | $316.23 | $323.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,454.71 | Facility | None | $2,398.83 | $2,398.83 | $2,454.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $549.54 Typical High $831.76 | Professional | None | $398.11 | $549.54 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,454.71 | Facility | None | $758.58 | $1,023.29 | $2,454.71 |
Cigna Setting Professional Modifier None Typical Low $199.53 Median $257.04 Typical High $426.58 | Professional | None | $199.53 | $257.04 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $380.19 Typical High $1,148.15 | Facility | None | $316.23 | $380.19 | $1,148.15 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $562.34 | Professional | None | $478.63 | $549.54 | $562.34 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $478.63 | Facility | None | $363.08 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $169.82 Median $275.42 Typical High $478.63 | Professional | None | $169.82 | $275.42 | $478.63 |
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 $158.49 Median $158.49 Typical High $162.18 | Professional | 52 · Reduced service | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | 53 · Discontinued | $63.10 | $63.10 | $64.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $275.42 Median $275.42 Typical High $371.54 | Professional | 51 · Multiple procedures | $275.42 | $275.42 | $371.54 |
Where South Carolina sits
The same service costs 3.8 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· 25th of 51
$398
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.