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 $2,951.21 Median $2,951.21 Typical High $2,951.21 | Facility | None | $2,951.21 | $2,951.21 | $2,951.21 |
Aetna Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $3,019.95 | Professional | None | $2,951.21 | $2,951.21 | $3,019.95 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $1,479.11 Median $1,479.11 Typical High $1,513.56 | Professional | 52 · Reduced service | $1,479.11 | $1,479.11 | $1,513.56 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $588.84 Median $588.84 Typical High $602.56 | Professional | 53 · Discontinued | $588.84 | $588.84 | $602.56 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19,952.62 Median $19,952.62 Typical High $20,892.96 | Facility | None | $19,952.62 | $19,952.62 | $20,892.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,715.35 | $3,715.35 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $7,079.46 Median $9,549.93 Typical High $22,908.68 | Facility | None | $7,079.46 | $9,549.93 | $22,908.68 |
Cigna Setting Professional Modifier None Typical Low $1,698.24 Median $1,905.46 Typical High $4,570.88 | Professional | None | $1,698.24 | $1,905.46 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $2,754.23 Median $3,235.94 Typical High $10,715.19 | Facility | None | $2,754.23 | $3,235.94 | $10,715.19 |
Medcost Setting Professional Modifier None Typical Low $2,951.21 Median $2,951.21 Typical High $4,897.79 | Professional | None | $2,951.21 | $2,951.21 | $4,897.79 |
United Setting Facility Modifier None Typical Low $3,388.44 Median $3,388.44 Typical High $4,466.84 | Facility | None | $3,388.44 | $3,388.44 | $4,466.84 |
United Setting Professional Modifier None Typical Low $1,445.44 Median $1,905.46 Typical High $3,388.44 | Professional | None | $1,445.44 | $1,905.46 | $3,388.44 |
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 $1,445.44 Median $1,445.44 Typical High $2,818.38 | Professional | 51 · Multiple procedures | $1,445.44 | $1,445.44 | $2,818.38 |
Where South Carolina sits
The same service costs 6.5 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· 27th of 51
$3,020
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.