How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $2,187.76 | Facility | None | $588.84 | $588.84 | $2,187.76 |
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 $812.83 Median $891.25 Typical High $1,071.52 | Facility | None | $812.83 | $891.25 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $549.54 Median $660.69 Typical High $870.96 | Professional | None | $549.54 | $660.69 | $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 $416.87 Typical High $912.01 | Professional | None | $346.74 | $416.87 | $912.01 |
Medcost Setting Facility Modifier None Typical Low $457.09 Median $676.08 Typical High $1,000.00 | Facility | None | $457.09 | $676.08 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $1,047.13 | Professional | None | $81.28 | $81.28 | $1,047.13 |
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 $40.74 Median $316.23 Typical High $645.65 | Professional | None | $40.74 | $316.23 | $645.65 |
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 $40.74 Median $40.74 Typical High $575.44 | Professional | 51 · Multiple procedures | $40.74 | $40.74 | $575.44 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in West Virginia. 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· 32nd 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.