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 $2,454.71 Median $2,454.71 Typical High $2,454.71 | Facility | None | $2,454.71 | $2,454.71 | $2,454.71 |
Aetna Setting Professional Modifier None Typical Low $2,454.71 Median $2,454.71 Typical High $2,511.89 | Professional | None | $2,454.71 | $2,454.71 | $2,511.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,202.26 Median $1,202.26 Typical High $1,258.93 | Professional | 52 · Reduced service | $1,202.26 | $1,202.26 | $1,258.93 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $489.78 Median $489.78 Typical High $501.19 | Professional | 53 · Discontinued | $489.78 | $489.78 | $501.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16,595.87 Median $16,595.87 Typical High $17,378.01 | Facility | None | $16,595.87 | $16,595.87 | $17,378.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $3,388.44 | Professional | None | $3,090.30 | $3,090.30 | $3,388.44 |
Cigna Setting Facility Modifier None Typical Low $5,888.44 Median $7,943.28 Typical High $19,054.61 | Facility | None | $5,888.44 | $7,943.28 | $19,054.61 |
Cigna Setting Professional Modifier None Typical Low $1,412.54 Median $1,584.89 Typical High $3,801.89 | Professional | None | $1,412.54 | $1,584.89 | $3,801.89 |
Medcost Setting Facility Modifier None Typical Low $2,454.71 Median $2,884.03 Typical High $8,912.51 | Facility | None | $2,454.71 | $2,884.03 | $8,912.51 |
Medcost Setting Professional Modifier None Typical Low $3,090.30 Median $3,090.30 Typical High $4,365.16 | Professional | None | $3,090.30 | $3,090.30 | $4,365.16 |
United Setting Facility Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,715.35 | Facility | None | $2,818.38 | $2,818.38 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,318.26 Median $1,862.09 Typical High $3,090.30 | Professional | None | $1,318.26 | $1,862.09 | $3,090.30 |
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 $1,548.82 Median $1,548.82 Typical High $2,511.89 | Professional | 51 · Multiple procedures | $1,548.82 | $1,548.82 | $2,511.89 |
Where South Carolina sits
The same service costs 6.0 times more in Texas 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· 20th of 51
$3,090
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.