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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | None | $281.84 | $281.84 | $288.40 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $2,187.76 | Facility | None | $102.33 | $177.83 | $2,187.76 |
BCBS South Carolina Setting Professional Modifier None Typical Low $354.81 Median $537.03 Typical High $758.58 | Professional | None | $354.81 | $537.03 | $758.58 |
Cigna Setting Facility Modifier None Typical Low $676.08 Median $912.01 Typical High $2,187.76 | Facility | None | $676.08 | $912.01 | $2,187.76 |
Cigna Setting Professional Modifier None Typical Low $181.97 Median $245.47 Typical High $436.52 | Professional | None | $181.97 | $245.47 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $354.81 Typical High $588.84 | Facility | None | $251.19 | $354.81 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $489.78 Typical High $489.78 | Professional | None | $426.58 | $489.78 | $489.78 |
United Setting Facility Modifier None Typical Low $323.59 Median $323.59 Typical High $426.58 | Facility | None | $323.59 | $323.59 | $426.58 |
United Setting Professional Modifier None Typical Low $151.36 Median $245.47 Typical High $489.78 | Professional | None | $151.36 | $245.47 | $489.78 |
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 $138.04 Median $138.04 Typical High $144.54 | Professional | 52 · Reduced service | $138.04 | $138.04 | $144.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $56.23 Median $56.23 Typical High $57.54 | Professional | 53 · Discontinued | $56.23 | $56.23 | $57.54 |
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· 20th of 51
$372
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.