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 $660.69 Median $660.69 Typical High $660.69 | Facility | None | $660.69 | $660.69 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $660.69 Median $660.69 Typical High $676.08 | Professional | None | $660.69 | $660.69 | $676.08 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $331.13 Median $331.13 Typical High $338.84 | Professional | 52 · Reduced service | $331.13 | $331.13 | $338.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $131.83 Median $131.83 Typical High $134.90 | Professional | 53 · Discontinued | $131.83 | $131.83 | $134.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,466.84 Median $4,466.84 Typical High $4,677.35 | Facility | None | $4,466.84 | $4,466.84 | $4,677.35 |
BCBS South Carolina Setting Professional Modifier None Typical Low $831.76 Median $831.76 Typical High $977.24 | Professional | None | $831.76 | $831.76 | $977.24 |
Cigna Setting Facility Modifier None Typical Low $1,584.89 Median $2,137.96 Typical High $5,248.07 | Facility | None | $1,584.89 | $2,137.96 | $5,248.07 |
Cigna Setting Professional Modifier None Typical Low $380.19 Median $426.58 Typical High $1,023.29 | Professional | None | $380.19 | $426.58 | $1,023.29 |
Medcost Setting Facility Modifier None Typical Low $562.34 Median $758.58 Typical High $1,122.02 | Facility | None | $562.34 | $758.58 | $1,122.02 |
Medcost Setting Professional Modifier None Typical Low $588.84 Median $588.84 Typical High $1,096.48 | Professional | None | $588.84 | $588.84 | $1,096.48 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $1,000.00 | Facility | None | $758.58 | $758.58 | $1,000.00 |
United Setting Professional Modifier None Typical Low $295.12 Median $416.87 Typical High $794.33 | Professional | None | $295.12 | $416.87 | $794.33 |
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 $295.12 Median $295.12 Typical High $630.96 | Professional | 51 · Multiple procedures | $295.12 | $295.12 | $630.96 |
Where South Carolina sits
The same service costs 5.4 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· 22nd of 51
$724
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.