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 $26.30 Median $4,265.80 Typical High $16,595.87 | Facility | None | $26.30 | $4,265.80 | $16,595.87 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $33.88 Typical High $42.66 | Professional | None | $22.91 | $33.88 | $42.66 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.50 Median $36.31 Typical High $43.65 | Professional | None | $19.50 | $36.31 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $66.07 | Professional | None | $33.11 | $47.86 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $39.81 Typical High $61.66 | Facility | None | $26.30 | $39.81 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $52.48 Typical High $52.48 | Professional | None | $35.48 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $40.74 Typical High $60.26 | Professional | None | $31.62 | $40.74 | $60.26 |
United Setting Facility Modifier None Typical Low $223.87 Median $1,202.26 Typical High $2,951.21 | Facility | None | $223.87 | $1,202.26 | $2,951.21 |
United Setting Professional Modifier None Typical Low $24.55 Median $38.02 Typical High $69.18 | Professional | None | $24.55 | $38.02 | $69.18 |
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 $17.38 Median $25.70 Typical High $33.11 | Professional | 51 · Multiple procedures | $17.38 | $25.70 | $33.11 |
Where South Carolina sits
The same service costs 7.1 times more in New York than in Maryland. 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· 30th of 51
$38.02
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.