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 $338.84 Median $338.84 Typical High $338.84 | Facility | None | $338.84 | $338.84 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $380.19 | Professional | None | $338.84 | $338.84 | $380.19 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $169.82 Median $169.82 Typical High $173.78 | Professional | 52 · Reduced service | $169.82 | $169.82 | $173.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | 53 · Discontinued | $69.18 | $69.18 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,630.27 Median $2,630.27 Typical High $2,691.53 | Facility | None | $2,630.27 | $2,630.27 | $2,691.53 |
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 $2,691.53 Typical High $8,128.31 | Facility | None | $2,454.71 | $2,691.53 | $8,128.31 |
Cigna Setting Professional Modifier None Typical Low $204.17 Median $281.84 Typical High $1,380.38 | Professional | None | $204.17 | $281.84 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $309.03 Median $457.09 Typical High $1,348.96 | Facility | None | $309.03 | $457.09 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $602.56 Typical High $616.60 | Professional | None | $524.81 | $602.56 | $616.60 |
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 $186.21 Median $302.00 Typical High $602.56 | Professional | None | $186.21 | $302.00 | $602.56 |
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 $302.00 Median $302.00 Typical High $407.38 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $407.38 |
Where South Carolina sits
The same service costs 5.2 times more in North Dakota 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
$603
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.