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 $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Aetna Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $724.44 | Professional | None | $707.95 | $707.95 | $724.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $977.24 Median $1,122.02 Typical High $1,288.25 | Facility | None | $977.24 | $1,122.02 | $1,288.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,047.13 | Professional | None | $912.01 | $912.01 | $1,047.13 |
Cigna Setting Facility Modifier None Typical Low $1,737.80 Median $2,344.23 Typical High $5,623.41 | Facility | None | $1,737.80 | $2,344.23 | $5,623.41 |
Cigna Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $1,096.48 | Professional | None | $416.87 | $537.03 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $645.65 Median $831.76 Typical High $1,202.26 | Facility | None | $645.65 | $831.76 | $1,202.26 |
Medcost Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $1,288.25 | Professional | None | $912.01 | $912.01 | $1,288.25 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,096.48 | Facility | None | $831.76 | $831.76 | $1,096.48 |
United Setting Professional Modifier None Typical Low $380.19 Median $549.54 Typical High $912.01 | Professional | None | $380.19 | $549.54 | $912.01 |
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 $354.81 Median $354.81 Typical High $363.08 | Professional | 52 · Reduced service | $354.81 | $354.81 | $363.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $141.25 Median $141.25 Typical High $147.91 | Professional | 53 · Discontinued | $141.25 | $141.25 | $147.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $457.09 Median $457.09 Typical High $724.44 | Professional | 51 · Multiple procedures | $457.09 | $457.09 | $724.44 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Maine. 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· 19th of 51
$912
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.