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 $213.80 Median $213.80 Typical High $213.80 | Facility | None | $213.80 | $213.80 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $234.42 | Professional | None | $165.96 | $213.80 | $234.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $269.15 Median $275.42 Typical High $275.42 | Professional | None | $269.15 | $275.42 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | None | $134.90 | $134.90 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $190.55 Median $213.80 Typical High $741.31 | Facility | None | $190.55 | $213.80 | $741.31 |
Medcost Setting Professional Modifier None Typical Low $199.53 Median $204.17 Typical High $354.81 | Professional | None | $199.53 | $204.17 | $354.81 |
United Setting Professional Modifier None Typical Low $93.33 Median $131.83 Typical High $169.82 | Professional | None | $93.33 | $131.83 | $169.82 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $100.00 Median $102.33 Typical High $229.09 | Professional | 51 · Multiple procedures | $100.00 | $102.33 | $229.09 |
Where South Carolina sits
The same service costs 2.6 times more in Hawaii than in Utah. 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· 3rd of 51
$269
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.