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 $204.17 Median $204.17 Typical High $371.54 | Facility | None | $204.17 | $204.17 | $371.54 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $245.47 | Professional | None | $204.17 | $204.17 | $245.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.84 Median $50.12 Typical High $1,445.44 | Facility | None | $28.84 | $50.12 | $1,445.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $154.88 Median $199.53 Typical High $275.42 | Professional | None | $154.88 | $199.53 | $275.42 |
Cigna Setting Facility Modifier None Typical Low $501.19 Median $660.69 Typical High $1,621.81 | Facility | None | $501.19 | $660.69 | $1,621.81 |
Cigna Setting Professional Modifier None Typical Low $120.23 Median $138.04 Typical High $316.23 | Professional | None | $120.23 | $138.04 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $245.47 Typical High $758.58 | Facility | None | $204.17 | $245.47 | $758.58 |
Medcost Setting Professional Modifier None Typical Low $147.91 Median $288.40 Typical High $371.54 | Professional | None | $147.91 | $288.40 | $371.54 |
United Setting Facility Modifier None Typical Low $234.42 Median $234.42 Typical High $316.23 | Facility | None | $234.42 | $234.42 | $316.23 |
United Setting Professional Modifier None Typical Low $109.65 Median $158.49 Typical High $288.40 | Professional | None | $109.65 | $158.49 | $288.40 |
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 $102.33 Median $102.33 Typical High $104.71 | Professional | 52 · Reduced service | $102.33 | $102.33 | $104.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $40.74 Median $40.74 Typical High $41.69 | Professional | 53 · Discontinued | $40.74 | $40.74 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $144.54 Typical High $234.42 | Professional | 51 · Multiple procedures | $74.13 | $144.54 | $234.42 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Georgia. 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· 45th of 51
$204
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.