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 $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Aetna Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $173.78 | Professional | None | $144.54 | $144.54 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $72.44 Median $72.44 Typical High $74.13 | Professional | 52 · Reduced service | $72.44 | $72.44 | $74.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | 53 · Discontinued | $28.84 | $28.84 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $114.82 Median $281.84 Typical High $1,000.00 | Facility | None | $114.82 | $281.84 | $1,000.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $213.80 | Professional | None | $186.21 | $186.21 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $346.74 Median $467.74 Typical High $1,148.15 | Facility | None | $346.74 | $467.74 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $100.00 Typical High $223.87 | Professional | None | $85.11 | $100.00 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $144.54 Median $173.78 Typical High $537.03 | Facility | None | $144.54 | $173.78 | $537.03 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $257.04 | Professional | None | $186.21 | $186.21 | $257.04 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $223.87 | Facility | None | $165.96 | $165.96 | $223.87 |
United Setting Professional Modifier None Typical Low $77.62 Median $112.20 Typical High $186.21 | Professional | None | $77.62 | $112.20 | $186.21 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $147.91 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $147.91 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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
$186
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.