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 $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Aetna Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $416.87 | Professional | None | $407.38 | $407.38 | $416.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $204.17 Median $204.17 Typical High $208.93 | Professional | 52 · Reduced service | $204.17 | $204.17 | $208.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $81.28 Median $81.28 Typical High $83.18 | Professional | 53 · Discontinued | $81.28 | $81.28 | $83.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2,754.23 Median $2,754.23 Typical High $2,884.03 | Facility | None | $2,754.23 | $2,754.23 | $2,884.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $562.34 | Professional | None | $524.81 | $524.81 | $562.34 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,071.52 Typical High $3,235.94 | Facility | None | $977.24 | $1,071.52 | $3,235.94 |
Cigna Setting Professional Modifier None Typical Low $234.42 Median $281.84 Typical High $630.96 | Professional | None | $234.42 | $281.84 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $407.38 Median $489.78 Typical High $1,513.56 | Facility | None | $407.38 | $489.78 | $1,513.56 |
Medcost Setting Professional Modifier None Typical Low $524.81 Median $524.81 Typical High $724.44 | Professional | None | $524.81 | $524.81 | $724.44 |
United Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $630.96 | Facility | None | $467.74 | $467.74 | $630.96 |
United Setting Professional Modifier None Typical Low $218.78 Median $309.03 Typical High $524.81 | Professional | None | $218.78 | $309.03 | $524.81 |
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 $257.04 Median $257.04 Typical High $416.87 | Professional | 51 · Multiple procedures | $257.04 | $257.04 | $416.87 |
Where South Carolina sits
The same service costs 8.1 times more in Texas 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· 23rd of 51
$525
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.