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 $912.01 Median $912.01 Typical High $912.01 | Facility | None | $912.01 | $912.01 | $912.01 |
Aetna Setting Professional Modifier None Typical Low $912.01 Median $912.01 Typical High $912.01 | Professional | None | $912.01 | $912.01 | $912.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $147.91 Median $147.91 Typical High $154.88 | Professional | None | $147.91 | $147.91 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $977.24 Median $1,659.59 Typical High $2,137.96 | Facility | None | $977.24 | $1,659.59 | $2,137.96 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $870.96 Typical High $870.96 | Professional | None | $870.96 | $870.96 | $870.96 |
Medcost Setting Facility Modifier None Typical Low $316.23 Median $912.01 Typical High $1,230.27 | Facility | None | $316.23 | $912.01 | $1,230.27 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $346.74 | Professional | None | $194.98 | $309.03 | $346.74 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $87.10 | Professional | None | $83.18 | $83.18 | $87.10 |
United Setting Professional Modifier None Typical Low $741.31 Median $870.96 Typical High $870.96 | Professional | None | $741.31 | $870.96 | $870.96 |
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 $97.72 Median $154.88 Typical High $173.78 | Professional | 51 · Multiple procedures | $97.72 | $154.88 | $173.78 |
Where South Carolina sits
The same service costs 2.3 times more in New Jersey than in Missouri. 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· 42nd of 51
$871
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.