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 $457.09 Median $457.09 Typical High $457.09 | Facility | None | $457.09 | $457.09 | $457.09 |
Aetna Setting Professional Modifier None Typical Low $457.09 Median $457.09 Typical High $467.74 | Professional | None | $457.09 | $457.09 | $467.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $3,630.78 | Facility | None | $3,467.37 | $3,467.37 | $3,630.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $676.08 | Professional | None | $588.84 | $588.84 | $676.08 |
Cigna Setting Facility Modifier None Typical Low $1,096.48 Median $1,479.11 Typical High $3,630.78 | Facility | None | $1,096.48 | $1,479.11 | $3,630.78 |
Cigna Setting Professional Modifier None Typical Low $295.12 Median $371.54 Typical High $707.95 | Professional | None | $295.12 | $371.54 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $436.52 Median $588.84 Typical High $1,698.24 | Facility | None | $436.52 | $588.84 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $794.33 Typical High $812.83 | Professional | None | $707.95 | $794.33 | $812.83 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $707.95 | Facility | None | $524.81 | $524.81 | $707.95 |
United Setting Professional Modifier None Typical Low $245.47 Median $398.11 Typical High $794.33 | Professional | None | $245.47 | $398.11 | $794.33 |
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 $229.09 Median $229.09 Typical High $234.42 | Professional | 52 · Reduced service | $229.09 | $229.09 | $234.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $91.20 Median $91.20 Typical High $93.33 | Professional | 53 · Discontinued | $91.20 | $91.20 | $93.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $549.54 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $549.54 |
Where South Carolina sits
The same service costs 3.2 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· 24th of 51
$589
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.