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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $138.04 | Professional | None | $134.90 | $134.90 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $501.19 Median $831.76 Typical High $1,479.11 | Facility | None | $501.19 | $831.76 | $1,479.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $363.08 Typical High $501.19 | Professional | None | $173.78 | $363.08 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $436.52 Typical High $1,071.52 | Facility | None | $331.13 | $436.52 | $1,071.52 |
Cigna Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $269.15 | Professional | None | $85.11 | $109.65 | $269.15 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $501.19 | Facility | None | $134.90 | $181.97 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $269.15 Typical High $302.00 | Professional | None | $208.93 | $269.15 | $302.00 |
United Setting Facility Modifier None Typical Low $154.88 Median $154.88 Typical High $208.93 | Facility | None | $154.88 | $154.88 | $208.93 |
United Setting Professional Modifier None Typical Low $104.71 Median $173.78 Typical High $457.09 | Professional | None | $104.71 | $173.78 | $457.09 |
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 $67.61 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $67.61 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $26.92 | $26.92 | $27.54 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $151.36 Typical High $186.21 | Professional | 51 · Multiple procedures | $114.82 | $151.36 | $186.21 |
Where South Carolina sits
The same service costs 3.7 times more in Kansas than in Illinois. 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· 4th of 51
$363
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.