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 $724.44 Median $724.44 Typical High $724.44 | Facility | None | $724.44 | $724.44 | $724.44 |
Aetna Setting Professional Modifier None Typical Low $724.44 Median $724.44 Typical High $741.31 | Professional | None | $724.44 | $724.44 | $741.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,023.29 Median $1,148.15 Typical High $1,318.26 | Facility | None | $1,023.29 | $1,148.15 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,071.52 | Professional | None | $933.25 | $933.25 | $1,071.52 |
Cigna Setting Facility Modifier None Typical Low $1,778.28 Median $2,398.83 Typical High $5,754.40 | Facility | None | $1,778.28 | $2,398.83 | $5,754.40 |
Cigna Setting Professional Modifier None Typical Low $426.58 Median $512.86 Typical High $1,122.02 | Professional | None | $426.58 | $512.86 | $1,122.02 |
Medcost Setting Facility Modifier None Typical Low $660.69 Median $870.96 Typical High $1,230.27 | Facility | None | $660.69 | $870.96 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $1,318.26 | Professional | None | $933.25 | $933.25 | $1,318.26 |
United Setting Facility Modifier None Typical Low $851.14 Median $851.14 Typical High $1,122.02 | Facility | None | $851.14 | $851.14 | $1,122.02 |
United Setting Professional Modifier None Typical Low $389.05 Median $562.34 Typical High $933.25 | Professional | None | $389.05 | $562.34 | $933.25 |
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 $363.08 Median $363.08 Typical High $371.54 | Professional | 52 · Reduced service | $363.08 | $363.08 | $371.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $144.54 Median $144.54 Typical High $151.36 | Professional | 53 · Discontinued | $144.54 | $144.54 | $151.36 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $467.74 Median $467.74 Typical High $741.31 | Professional | 51 · Multiple procedures | $467.74 | $467.74 | $741.31 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska 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· 21st of 51
$933
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.