How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $223.87 | Professional | None | $199.53 | $199.53 | $223.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $912.01 Typical High $1,737.80 | Facility | None | $549.54 | $912.01 | $1,737.80 |
BCBS South Carolina Setting Professional Modifier None Typical Low $257.04 Median $354.81 Typical High $446.68 | Professional | None | $257.04 | $354.81 | $446.68 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $660.69 Typical High $1,584.89 | Facility | None | $489.78 | $660.69 | $1,584.89 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $169.82 Typical High $346.74 | Professional | None | $131.83 | $169.82 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $426.58 Typical High $741.31 | Facility | None | $199.53 | $426.58 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $436.52 Typical High $467.74 | Professional | None | $144.54 | $436.52 | $467.74 |
United Setting Facility Modifier None Typical Low $229.09 Median $229.09 Typical High $309.03 | Facility | None | $229.09 | $229.09 | $309.03 |
United Setting Professional Modifier None Typical Low $107.15 Median $177.83 Typical High $309.03 | Professional | None | $107.15 | $177.83 | $309.03 |
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 $100.00 Median $100.00 Typical High $102.33 | Professional | 52 · Reduced service | $100.00 | $100.00 | $102.33 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | 53 · Discontinued | $39.81 | $39.81 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $72.44 Median $234.42 Typical High $239.88 | Professional | 51 · Multiple procedures | $72.44 | $234.42 | $239.88 |
Where South Carolina sits
The same service costs 3.7 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· 8th of 51
$355
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.