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 $1,000.00 Median $1,000.00 Typical High $1,000.00 | Facility | None | $1,000.00 | $1,000.00 | $1,000.00 |
Aetna Setting Professional Modifier None Typical Low $1,000.00 Median $1,000.00 Typical High $1,023.29 | Professional | None | $1,000.00 | $1,000.00 | $1,023.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,380.38 Median $1,584.89 Typical High $1,819.70 | Facility | None | $1,380.38 | $1,584.89 | $1,819.70 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,479.11 | Professional | None | $1,288.25 | $1,288.25 | $1,479.11 |
Cigna Setting Facility Modifier None Typical Low $2,454.71 Median $3,235.94 Typical High $7,943.28 | Facility | None | $2,454.71 | $3,235.94 | $7,943.28 |
Cigna Setting Professional Modifier None Typical Low $588.84 Median $707.95 Typical High $1,548.82 | Professional | None | $588.84 | $707.95 | $1,548.82 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,202.26 Typical High $1,698.24 | Facility | None | $891.25 | $1,202.26 | $1,698.24 |
Medcost Setting Professional Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,819.70 | Professional | None | $1,288.25 | $1,288.25 | $1,819.70 |
United Setting Facility Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,548.82 | Facility | None | $1,148.15 | $1,148.15 | $1,548.82 |
United Setting Professional Modifier None Typical Low $537.03 Median $776.25 Typical High $1,288.25 | Professional | None | $537.03 | $776.25 | $1,288.25 |
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 $501.19 Median $501.19 Typical High $512.86 | Professional | 52 · Reduced service | $501.19 | $501.19 | $512.86 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $199.53 Median $199.53 Typical High $204.17 | Professional | 53 · Discontinued | $199.53 | $199.53 | $204.17 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $645.65 Median $645.65 Typical High $1,023.29 | Professional | 51 · Multiple procedures | $645.65 | $645.65 | $1,023.29 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Alabama. 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· 21st of 51
$1,288
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.