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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | None | $173.78 | $173.78 | $177.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,348.96 | Facility | None | $1,318.26 | $1,318.26 | $1,348.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $218.78 Median $234.42 Typical High $346.74 | Professional | None | $218.78 | $234.42 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $416.87 Median $562.34 Typical High $1,348.96 | Facility | None | $416.87 | $562.34 | $1,348.96 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $141.25 Typical High $234.42 | Professional | None | $109.65 | $141.25 | $234.42 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $208.93 Typical High $630.96 | Facility | None | $173.78 | $208.93 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $302.00 Typical High $309.03 | Professional | None | $263.03 | $302.00 | $309.03 |
United Setting Facility Modifier None Typical Low $199.53 Median $199.53 Typical High $263.03 | Facility | None | $199.53 | $199.53 | $263.03 |
United Setting Professional Modifier None Typical Low $93.33 Median $151.36 Typical High $263.03 | Professional | None | $93.33 | $151.36 | $263.03 |
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 $85.11 Median $85.11 Typical High $89.13 | Professional | 52 · Reduced service | $85.11 | $85.11 | $89.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | 53 · Discontinued | $34.67 | $34.67 | $35.48 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $151.36 Median $151.36 Typical High $204.17 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $204.17 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in New Jersey. 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
$219
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.