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 $58,884.37 Median $58,884.37 Typical High $58,884.37 | Facility | None | $58,884.37 | $58,884.37 | $58,884.37 |
Aetna Setting Professional Modifier None Typical Low $56,234.13 Median $58,884.37 Typical High $58,884.37 | Professional | None | $56,234.13 | $58,884.37 | $58,884.37 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26,915.35 Median $57,543.99 Typical High $107,151.93 | Facility | None | $26,915.35 | $57,543.99 | $107,151.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Cigna Setting Facility Modifier None Typical Low $79,432.82 Median $97,723.72 Typical High $138,038.43 | Facility | None | $79,432.82 | $97,723.72 | $138,038.43 |
Cigna Setting Professional Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $56,234.13 | Professional | None | $56,234.13 | $56,234.13 | $56,234.13 |
Medcost Setting Facility Modifier None Typical Low $38,904.51 Median $77,624.71 Typical High $158,489.32 | Facility | None | $38,904.51 | $77,624.71 | $158,489.32 |
Medcost Setting Professional Modifier None Typical Low $37,153.52 Median $37,153.52 Typical High $64,565.42 | Professional | None | $37,153.52 | $37,153.52 | $64,565.42 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $128,824.96 Typical High $134,896.29 | Professional | None | $30.20 | $128,824.96 | $134,896.29 |
United Setting Facility Modifier None Typical Low $56,234.13 Median $56,234.13 Typical High $120,226.44 | Facility | None | $56,234.13 | $56,234.13 | $120,226.44 |
United Setting Professional Modifier None Typical Low $44,668.36 Median $56,234.13 Typical High $60,255.96 | Professional | None | $44,668.36 | $56,234.13 | $60,255.96 |
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 $18,620.87 Median $18,620.87 Typical High $40,738.03 | Professional | 51 · Multiple procedures | $18,620.87 | $18,620.87 | $40,738.03 |
Where South Carolina sits
Rates are fairly even across states for this service. 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· 43rd of 51
$56,234
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.