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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $831.76 | Professional | None | $794.33 | $794.33 | $831.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $125.89 Median $199.53 Typical High $354.81 | Facility | None | $125.89 | $199.53 | $354.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $724.44 | Professional | None | $363.08 | $602.56 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $6,918.31 | Facility | None | $64.57 | $87.10 | $6,918.31 |
Cigna Setting Professional Modifier None Typical Low $467.74 Median $512.86 Typical High $1,380.38 | Professional | None | $467.74 | $512.86 | $1,380.38 |
Medcost Setting Facility Modifier None Typical Low $891.25 Median $1,071.52 Typical High $1,258.93 | Facility | None | $891.25 | $1,071.52 | $1,258.93 |
Medcost Setting Professional Modifier None Typical Low $1,230.27 Median $1,445.44 Typical High $2,089.30 | Professional | None | $1,230.27 | $1,445.44 | $2,089.30 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Facility | None | $707.95 | $870.96 | $1,122.02 |
United Setting Professional Modifier None Typical Low $446.68 Median $707.95 Typical High $1,513.56 | Professional | None | $446.68 | $707.95 | $1,513.56 |
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 $398.11 Median $398.11 Typical High $407.38 | Professional | 52 · Reduced service | $398.11 | $398.11 | $407.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $158.49 Median $158.49 Typical High $162.18 | Professional | 53 · Discontinued | $158.49 | $158.49 | $162.18 |
Where South Carolina sits
The same service costs 43.7 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· 48th of 51
$417
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.