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 $512.86 | Professional | None | $457.09 | $457.09 | $512.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $724.44 Typical High $812.83 | Facility | None | $630.96 | $724.44 | $812.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,318.26 Median $1,318.26 Typical High $1,380.38 | Professional | None | $1,318.26 | $1,318.26 | $1,380.38 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,090.30 Typical High $8,128.31 | Facility | None | $2,454.71 | $3,090.30 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $269.15 Median $371.54 Typical High $1,380.38 | Professional | None | $269.15 | $371.54 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $549.54 Typical High $1,380.38 | Facility | None | $407.38 | $549.54 | $1,380.38 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $724.44 Typical High $812.83 | Professional | None | $707.95 | $724.44 | $812.83 |
United Setting Facility Modifier None Typical Low $1,174.90 Median $1,174.90 Typical High $1,548.82 | Facility | None | $1,174.90 | $1,174.90 | $1,548.82 |
United Setting Professional Modifier None Typical Low $245.47 Median $363.08 Typical High $758.58 | Professional | None | $245.47 | $363.08 | $758.58 |
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 $363.08 Median $363.08 Typical High $549.54 | Professional | 51 · Multiple procedures | $363.08 | $363.08 | $549.54 |
Where South Carolina sits
The same service costs 4.0 times more in Wisconsin than in Georgia. 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· 30th of 51
$724
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.