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 $588.84 Median $588.84 Typical High $588.84 | Facility | None | $588.84 | $588.84 | $588.84 |
Aetna Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | None | $588.84 | $588.84 | $602.56 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,073.80 Median $4,073.80 Typical High $4,168.69 | Facility | None | $4,073.80 | $4,073.80 | $4,168.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $870.96 | Professional | None | $489.78 | $630.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $4,677.35 | Facility | None | $1,445.44 | $1,905.46 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $380.19 Typical High $912.01 | Professional | None | $346.74 | $380.19 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $537.03 Median $707.95 Typical High $1,000.00 | Facility | None | $537.03 | $707.95 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,071.52 | Professional | None | $794.33 | $794.33 | $1,071.52 |
United Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $912.01 | Facility | None | $676.08 | $676.08 | $912.01 |
United Setting Professional Modifier None Typical Low $316.23 Median $457.09 Typical High $794.33 | Professional | None | $316.23 | $457.09 | $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 $295.12 Median $295.12 Typical High $302.00 | Professional | 52 · Reduced service | $295.12 | $295.12 | $302.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $117.49 Median $117.49 Typical High $120.23 | Professional | 53 · Discontinued | $117.49 | $117.49 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $645.65 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $645.65 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Oklahoma. 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· 35th 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.