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 $269.15 Median $269.15 Typical High $269.15 | Facility | None | $269.15 | $269.15 | $269.15 |
Aetna Setting Professional Modifier None Typical Low $269.15 Median $269.15 Typical High $275.42 | Professional | None | $269.15 | $269.15 | $275.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,041.74 Median $2,041.74 Typical High $2,137.96 | Facility | None | $2,041.74 | $2,041.74 | $2,137.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $562.34 | Professional | None | $346.74 | $380.19 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $2,137.96 | Facility | None | $660.69 | $870.96 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $218.78 Typical High $363.08 | Professional | None | $169.82 | $218.78 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $269.15 Median $323.59 Typical High $1,000.00 | Facility | None | $269.15 | $323.59 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $467.74 Typical High $478.63 | Professional | None | $416.87 | $467.74 | $478.63 |
United Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
United Setting Professional Modifier None Typical Low $144.54 Median $234.42 Typical High $416.87 | Professional | None | $144.54 | $234.42 | $416.87 |
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 $134.90 Median $134.90 Typical High $138.04 | Professional | 52 · Reduced service | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | 53 · Discontinued | $53.70 | $53.70 | $54.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $234.42 Median $234.42 Typical High $323.59 | Professional | 51 · Multiple procedures | $234.42 | $234.42 | $323.59 |
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· 27th of 51
$347
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.