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 $2,238.72 Median $2,238.72 Typical High $2,238.72 | Facility | None | $2,238.72 | $2,238.72 | $2,238.72 |
Aetna Setting Professional Modifier None Typical Low $2,238.72 Median $2,238.72 Typical High $2,290.87 | Professional | None | $2,238.72 | $2,238.72 | $2,290.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,122.02 Median $1,122.02 Typical High $1,148.15 | Professional | 52 · Reduced service | $1,122.02 | $1,122.02 | $1,148.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $446.68 Median $446.68 Typical High $457.09 | Professional | 53 · Discontinued | $446.68 | $446.68 | $457.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15,488.17 Median $15,488.17 Typical High $15,848.93 | Facility | None | $15,488.17 | $15,488.17 | $15,848.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,090.30 | Professional | None | $2,884.03 | $2,884.03 | $3,090.30 |
Cigna Setting Facility Modifier None Typical Low $5,370.32 Median $7,244.36 Typical High $17,782.79 | Facility | None | $5,370.32 | $7,244.36 | $17,782.79 |
Cigna Setting Professional Modifier None Typical Low $1,288.25 Median $1,584.89 Typical High $3,467.37 | Professional | None | $1,288.25 | $1,584.89 | $3,467.37 |
Medcost Setting Facility Modifier None Typical Low $1,995.26 Median $2,454.71 Typical High $8,317.64 | Facility | None | $1,995.26 | $2,454.71 | $8,317.64 |
Medcost Setting Professional Modifier None Typical Low $2,137.96 Median $2,137.96 Typical High $3,715.35 | Professional | None | $2,137.96 | $2,137.96 | $3,715.35 |
United Setting Facility Modifier None Typical Low $2,570.40 Median $2,570.40 Typical High $3,467.37 | Facility | None | $2,570.40 | $2,570.40 | $3,467.37 |
United Setting Professional Modifier None Typical Low $1,071.52 Median $1,445.44 Typical High $2,630.27 | Professional | None | $1,071.52 | $1,445.44 | $2,630.27 |
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 $1,071.52 Median $1,071.52 Typical High $2,137.96 | Professional | 51 · Multiple procedures | $1,071.52 | $1,071.52 | $2,137.96 |
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· 29th of 51
$2,291
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.