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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $239.88 | Professional | None | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 52 · Reduced service | $117.49 | $117.49 | $120.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | 53 · Discontinued | $46.77 | $46.77 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,621.81 Median $1,621.81 Typical High $1,659.59 | Facility | None | $1,621.81 | $1,621.81 | $1,659.59 |
BCBS South Carolina Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $323.59 | Professional | None | $302.00 | $302.00 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $575.44 Median $758.58 Typical High $1,862.09 | Facility | None | $575.44 | $758.58 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $165.96 Typical High $363.08 | Professional | None | $138.04 | $165.96 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $281.84 Typical High $870.96 | Facility | None | $234.42 | $281.84 | $870.96 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $426.58 | Professional | None | $302.00 | $302.00 | $426.58 |
United Setting Facility Modifier None Typical Low $269.15 Median $269.15 Typical High $363.08 | Facility | None | $269.15 | $269.15 | $363.08 |
United Setting Professional Modifier None Typical Low $125.89 Median $181.97 Typical High $302.00 | Professional | None | $125.89 | $181.97 | $302.00 |
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 $151.36 Median $151.36 Typical High $239.88 | Professional | 51 · Multiple procedures | $151.36 | $151.36 | $239.88 |
Where South Carolina sits
The same service costs 3.9 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· 20th 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.