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 $257.04 Median $257.04 Typical High $257.04 | Facility | None | $257.04 | $257.04 | $257.04 |
Aetna Setting Professional Modifier None Typical Low $257.04 Median $257.04 Typical High $263.03 | Professional | None | $257.04 | $257.04 | $263.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $1,819.70 | Facility | None | $102.33 | $177.83 | $1,819.70 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $251.19 Typical High $323.59 | Professional | None | $173.78 | $251.19 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $616.60 Median $676.08 Typical High $1,995.26 | Facility | None | $616.60 | $676.08 | $1,995.26 |
Cigna Setting Professional Modifier None Typical Low $72.44 Median $147.91 Typical High $371.54 | Professional | None | $72.44 | $147.91 | $371.54 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $436.52 | Facility | None | $162.18 | $257.04 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $158.49 Typical High $389.05 | Professional | None | $158.49 | $158.49 | $389.05 |
United Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $389.05 | Facility | None | $295.12 | $295.12 | $389.05 |
United Setting Professional Modifier None Typical Low $79.43 Median $158.49 Typical High $323.59 | Professional | None | $79.43 | $158.49 | $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 $131.83 | Professional | 52 · Reduced service | $125.89 | $125.89 | $131.83 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $51.29 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $51.29 | $51.29 | $52.48 |
Where South Carolina sits
The same service costs 8.9 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· 23rd of 51
$257
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.