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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $524.81 | Facility | None | $102.33 | $177.83 | $524.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $177.83 | Professional | None | $95.50 | $123.03 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $181.97 Median $239.88 Typical High $588.84 | Facility | None | $181.97 | $239.88 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $54.95 Typical High $109.65 | Professional | None | $43.65 | $54.95 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $95.50 Typical High $131.83 | Facility | None | $67.61 | $95.50 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $112.20 Typical High $114.82 | Professional | None | $109.65 | $112.20 | $114.82 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Facility | None | $85.11 | $85.11 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $114.82 | Professional | None | $39.81 | $57.54 | $114.82 |
2 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 $37.15 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.14 |
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· 18th of 51
$100
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.