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 $741.31 Median $741.31 Typical High $741.31 | Facility | None | $741.31 | $741.31 | $741.31 |
Aetna Setting Professional Modifier None Typical Low $741.31 Median $741.31 Typical High $758.58 | Professional | None | $741.31 | $741.31 | $758.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3,467.37 Median $3,981.07 Typical High $6,918.31 | Facility | None | $3,467.37 | $3,981.07 | $6,918.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $147.91 Median $158.49 Typical High $891.25 | Professional | None | $147.91 | $158.49 | $891.25 |
Cigna Setting Facility Modifier None Typical Low $870.96 Median $1,479.11 Typical High $1,862.09 | Facility | None | $870.96 | $1,479.11 | $1,862.09 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Professional | None | $758.58 | $758.58 | $758.58 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $812.83 Typical High $1,000.00 | Facility | None | $467.74 | $812.83 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $891.25 | Professional | None | $194.98 | $309.03 | $891.25 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $104.71 Typical High $912.01 | Professional | None | $83.18 | $104.71 | $912.01 |
United Setting Professional Modifier None Typical Low $1,698.24 Median $1,995.26 Typical High $1,995.26 | Professional | None | $1,698.24 | $1,995.26 | $1,995.26 |
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 $218.78 | Professional | 51 · Multiple procedures | $97.72 | $154.88 | $218.78 |
Where South Carolina sits
The same service costs 4.2 times more in Oklahoma 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· 41st of 51
$759
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.