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 $616.60 Median $616.60 Typical High $616.60 | Facility | None | $616.60 | $616.60 | $616.60 |
Aetna Setting Professional Modifier None Typical Low $616.60 Median $616.60 Typical High $630.96 | Professional | None | $616.60 | $616.60 | $630.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,365.16 | Facility | None | $4,265.80 | $4,265.80 | $4,365.16 |
BCBS South Carolina Setting Professional Modifier None Typical Low $489.78 Median $630.96 Typical High $870.96 | Professional | None | $489.78 | $630.96 | $870.96 |
Cigna Setting Facility Modifier None Typical Low $1,513.56 Median $1,659.59 Typical High $4,897.79 | Facility | None | $1,513.56 | $1,659.59 | $4,897.79 |
Cigna Setting Professional Modifier None Typical Low $363.08 Median $436.52 Typical High $954.99 | Professional | None | $363.08 | $436.52 | $954.99 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $741.31 Typical High $1,047.13 | Facility | None | $575.44 | $741.31 | $1,047.13 |
Medcost Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $1,122.02 | Professional | None | $794.33 | $794.33 | $1,122.02 |
United Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $954.99 | Facility | None | $707.95 | $707.95 | $954.99 |
United Setting Professional Modifier None Typical Low $331.13 Median $478.63 Typical High $794.33 | Professional | None | $331.13 | $478.63 | $794.33 |
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 $309.03 Median $309.03 Typical High $316.23 | Professional | 52 · Reduced service | $309.03 | $309.03 | $316.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $123.03 Median $123.03 Typical High $125.89 | Professional | 53 · Discontinued | $123.03 | $123.03 | $125.89 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $398.11 Median $398.11 Typical High $630.96 | Professional | 51 · Multiple procedures | $398.11 | $398.11 | $630.96 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Kentucky. 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· 36th of 51
$617
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.