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 $138.04 Median $138.04 Typical High $138.04 | Facility | None | $138.04 | $138.04 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $138.04 Typical High $141.25 | Professional | None | $138.04 | $138.04 | $141.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,096.48 | Facility | None | $1,047.13 | $1,047.13 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $165.96 Median $177.83 Typical High $245.47 | Professional | None | $165.96 | $177.83 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $338.84 Median $446.68 Typical High $1,096.48 | Facility | None | $338.84 | $446.68 | $1,096.48 |
Cigna Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $186.21 | Professional | None | $87.10 | $112.20 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $512.86 | Facility | None | $138.04 | $165.96 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $239.88 Typical High $245.47 | Professional | None | $213.80 | $239.88 | $245.47 |
United Setting Facility Modifier None Typical Low $158.49 Median $158.49 Typical High $213.80 | Facility | None | $158.49 | $158.49 | $213.80 |
United Setting Professional Modifier None Typical Low $74.13 Median $120.23 Typical High $213.80 | Professional | None | $74.13 | $120.23 | $213.80 |
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 $69.18 Median $69.18 Typical High $70.79 | Professional | 52 · Reduced service | $69.18 | $69.18 | $70.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | 53 · Discontinued | $27.54 | $27.54 | $28.18 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $120.23 Median $120.23 Typical High $165.96 | Professional | 51 · Multiple procedures | $120.23 | $120.23 | $165.96 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska 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· 33rd of 51
$166
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.