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 $3,019.95 Median $3,019.95 Typical High $3,019.95 | Facility | None | $3,019.95 | $3,019.95 | $3,019.95 |
Aetna Setting Professional Modifier None Typical Low $3,019.95 Median $3,019.95 Typical High $3,090.30 | Professional | None | $3,019.95 | $3,019.95 | $3,090.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20,892.96 Median $20,892.96 Typical High $21,379.62 | Facility | None | $20,892.96 | $20,892.96 | $21,379.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,162.28 Median $3,801.89 Typical High $4,786.30 | Professional | None | $3,162.28 | $3,801.89 | $4,786.30 |
Cigna Setting Facility Modifier None Typical Low $7,244.36 Median $9,772.37 Typical High $23,988.33 | Facility | None | $7,244.36 | $9,772.37 | $23,988.33 |
Cigna Setting Professional Modifier None Typical Low $1,737.80 Median $1,819.70 Typical High $4,677.35 | Professional | None | $1,737.80 | $1,819.70 | $4,677.35 |
Medcost Setting Facility Modifier None Typical Low $3,019.95 Median $3,630.78 Typical High $11,220.18 | Facility | None | $3,019.95 | $3,630.78 | $11,220.18 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,370.32 | Professional | None | $3,890.45 | $3,890.45 | $5,370.32 |
United Setting Facility Modifier None Typical Low $3,467.37 Median $3,467.37 Typical High $4,677.35 | Facility | None | $3,467.37 | $3,467.37 | $4,677.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $3,890.45 | Professional | None | $1,621.81 | $2,344.23 | $3,890.45 |
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 $1,513.56 Median $1,513.56 Typical High $1,548.82 | Professional | 52 · Reduced service | $1,513.56 | $1,513.56 | $1,548.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 53 · Discontinued | $602.56 | $602.56 | $616.60 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,949.84 Median $1,949.84 Typical High $3,090.30 | Professional | 51 · Multiple procedures | $1,949.84 | $1,949.84 | $3,090.30 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Alabama. 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
$3,162
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.