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 Professional Modifier 26 · Professional part Typical Low $602.56 Median $602.56 Typical High $616.60 | Professional | 26 · Professional part | $602.56 | $602.56 | $616.60 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $831.76 | Professional | None (both parts) | $776.25 | $776.25 | $831.76 |
Cigna Setting Facility Modifier None Typical Low $1,445.44 Median $1,949.84 Typical High $4,786.30 | Facility | None | $1,445.44 | $1,949.84 | $4,786.30 |
Cigna Setting Professional Modifier None (both parts) Typical Low $891.25 Median $891.25 Typical High $1,096.48 | Professional | None (both parts) | $891.25 | $891.25 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $724.44 Typical High $1,380.38 | Facility | None | $575.44 | $724.44 | $1,380.38 |
Medcost Setting Professional Modifier None (both parts) Typical Low $776.25 Median $776.25 Typical High $933.25 | Professional | None (both parts) | $776.25 | $776.25 | $933.25 |
United Setting Facility Modifier None Typical Low $691.83 Median $691.83 Typical High $933.25 | Facility | None | $691.83 | $691.83 | $933.25 |
United Setting Professional Modifier None (both parts) Typical Low $323.59 Median $467.74 Typical High $933.25 | Professional | None (both parts) | $323.59 | $467.74 | $933.25 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $120.23 | Facility | 53 · Discontinued | $120.23 | $120.23 | $120.23 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $302.00 Median $302.00 Typical High $309.03 | Professional | 52 · Reduced service | $302.00 | $302.00 | $309.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | 53 · Discontinued | $120.23 | $120.23 | $123.03 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in New Mexico. 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· 18th of 51
$776
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.