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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $2,570.40 | Professional | None | $2,511.89 | $2,511.89 | $2,570.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $17,378.01 Median $17,378.01 Typical High $17,782.79 | Facility | None | $17,378.01 | $17,378.01 | $17,782.79 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,951.21 Median $3,235.94 Typical High $4,466.84 | Professional | None | $2,951.21 | $3,235.94 | $4,466.84 |
Cigna Setting Facility Modifier None Typical Low $6,165.95 Median $8,128.31 Typical High $19,952.62 | Facility | None | $6,165.95 | $8,128.31 | $19,952.62 |
Cigna Setting Professional Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $3,890.45 | Professional | None | $1,479.11 | $1,778.28 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $2,511.89 Median $2,754.23 Typical High $9,332.54 | Facility | None | $2,511.89 | $2,754.23 | $9,332.54 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $4,570.88 | Professional | None | $2,818.38 | $2,818.38 | $4,570.88 |
United Setting Facility Modifier None Typical Low $2,884.03 Median $2,884.03 Typical High $3,890.45 | Facility | None | $2,884.03 | $2,884.03 | $3,890.45 |
United Setting Professional Modifier None Typical Low $1,348.96 Median $1,862.09 Typical High $2,951.21 | Professional | None | $1,348.96 | $1,862.09 | $2,951.21 |
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 $1,258.93 Median $1,258.93 Typical High $1,288.25 | Professional | 52 · Reduced service | $1,258.93 | $1,258.93 | $1,288.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $501.19 Median $501.19 Typical High $512.86 | Professional | 53 · Discontinued | $501.19 | $501.19 | $512.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $1,412.54 Median $1,412.54 Typical High $2,454.71 | Professional | 51 · Multiple procedures | $1,412.54 | $1,412.54 | $2,454.71 |
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· 23rd of 51
$2,951
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.