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 $234.42 Median $234.42 Typical High $234.42 | Facility | None | $234.42 | $234.42 | $234.42 |
Aetna Setting Professional Modifier None Typical Low $234.42 Median $234.42 Typical High $870.96 | Professional | None | $234.42 | $234.42 | $870.96 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $117.49 Median $117.49 Typical High $436.52 | Professional | 52 · Reduced service | $117.49 | $117.49 | $436.52 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $46.77 Median $46.77 Typical High $173.78 | Professional | 53 · Discontinued | $46.77 | $46.77 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $138.04 Median $186.21 Typical High $389.05 | Professional | None | $138.04 | $186.21 | $389.05 |
Medcost Setting Facility Modifier None Typical Low $234.42 Median $257.04 Typical High $316.23 | Facility | None | $234.42 | $257.04 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $363.08 Median $363.08 Typical High $1,318.26 | Professional | None | $363.08 | $363.08 | $1,318.26 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $309.03 Median $1,071.52 Typical High $1,819.70 | Professional | None | $309.03 | $1,071.52 | $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 51 · Multiple procedures Typical Low $181.97 Median $181.97 Typical High $831.76 | Professional | 51 · Multiple procedures | $181.97 | $181.97 | $831.76 |
Where South Carolina sits
The same service costs 14.8 times more in North Carolina than in New York. 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
$437
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.