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 $794.33 Median $794.33 Typical High $794.33 | Facility | None | $794.33 | $794.33 | $794.33 |
Aetna Setting Professional Modifier None (both parts) Typical Low $741.31 Median $794.33 Typical High $794.33 | Professional | None (both parts) | $741.31 | $794.33 | $794.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $630.96 Median $1,023.29 Typical High $1,737.80 | Facility | None | $630.96 | $1,023.29 | $1,737.80 |
Cigna Setting Facility Modifier None Typical Low $933.25 Median $1,584.89 Typical High $2,041.74 | Facility | None | $933.25 | $1,584.89 | $2,041.74 |
Cigna Setting Professional Modifier None (both parts) Typical Low $831.76 Median $831.76 Typical High $831.76 | Professional | None (both parts) | $831.76 | $831.76 | $831.76 |
Medcost Setting Facility Modifier None Typical Low $794.33 Median $954.99 Typical High $1,202.26 | Facility | None | $794.33 | $954.99 | $1,202.26 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $831.76 Median $831.76 Typical High $1,819.70 | Facility | None | $831.76 | $831.76 | $1,819.70 |
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 TC · Technical part Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | TC · Technical part | $489.78 | $489.78 | $489.78 |
Where South Carolina sits
The same service costs 295.1 times more in Alabama than in Montana. 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· 9th of 51
$1,000
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.