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 $251.19 Median $251.19 Typical High $251.19 | Facility | None | $251.19 | $251.19 | $251.19 |
Aetna Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $257.04 | Professional | None | $251.19 | $251.19 | $257.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $1,778.28 | Facility | None | $102.33 | $177.83 | $1,778.28 |
BCBS South Carolina Setting Professional Modifier None Typical Low $190.55 Median $275.42 Typical High $346.74 | Professional | None | $190.55 | $275.42 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $707.95 Typical High $1,995.26 | Facility | None | $616.60 | $707.95 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $79.43 Median $147.91 Typical High $371.54 | Professional | None | $79.43 | $147.91 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $251.19 Typical High $426.58 | Facility | None | $173.78 | $251.19 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $389.05 | Professional | None | $173.78 | $173.78 | $389.05 |
United Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $389.05 | Facility | None | $288.40 | $288.40 | $389.05 |
United Setting Professional Modifier None Typical Low $87.10 Median $162.18 Typical High $323.59 | Professional | None | $87.10 | $162.18 | $323.59 |
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 $125.89 Median $125.89 Typical High $128.82 | Professional | 52 · Reduced service | $125.89 | $125.89 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | 53 · Discontinued | $50.12 | $50.12 | $51.29 |
Where South Carolina sits
The same service costs 7.9 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· 25th of 51
$251
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.