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 $2,137.96 Median $2,137.96 Typical High $2,238.72 | Facility | None | $2,137.96 | $2,137.96 | $2,238.72 |
BCBS South Carolina Setting Professional Modifier None Typical Low $234.42 Median $338.84 Typical High $426.58 | Professional | None | $234.42 | $338.84 | $426.58 |
Cigna Setting Facility Modifier None Typical Low $758.58 Median $1,023.29 Typical High $2,511.89 | Facility | None | $758.58 | $1,023.29 | $2,511.89 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $186.21 Typical High $426.58 | Professional | None | $141.25 | $186.21 | $426.58 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $346.74 Typical High $1,174.90 | Facility | None | $288.40 | $346.74 | $1,174.90 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $524.81 | Professional | None | $302.00 | $302.00 | $524.81 |
United Setting Facility Modifier None Typical Low $363.08 Median $363.08 Typical High $489.78 | Facility | None | $363.08 | $363.08 | $489.78 |
United Setting Professional Modifier None Typical Low $151.36 Median $199.53 Typical High $371.54 | Professional | None | $151.36 | $199.53 | $371.54 |
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 $151.36 Median $151.36 Typical High $302.00 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $302.00 |
Where South Carolina sits
The same service costs 5.2 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· 42nd of 51
$302
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.