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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $72.44 | Professional | None | $58.88 | $58.88 | $72.44 |
BCBS Setting Facility Modifier None Typical Low $446.68 Median $446.68 Typical High $457.09 | Facility | None | $446.68 | $446.68 | $457.09 |
BCBS Setting Professional Modifier None Typical Low $46.77 Median $67.61 Typical High $79.43 | Professional | None | $46.77 | $67.61 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $141.25 Median $190.55 Typical High $457.09 | Facility | None | $141.25 | $190.55 | $457.09 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $47.86 Typical High $89.13 | Professional | None | $38.02 | $47.86 | $89.13 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $70.79 Typical High $100.00 | Facility | None | $52.48 | $70.79 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $102.33 Typical High $102.33 | Professional | None | $89.13 | $102.33 | $102.33 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $89.13 | Facility | None | $67.61 | $67.61 | $89.13 |
United Setting Professional Modifier None Typical Low $31.62 Median $51.29 Typical High $102.33 | Professional | None | $31.62 | $51.29 | $102.33 |
2 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 Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $30.20 | Professional | 52 · Reduced service | $29.51 | $29.51 | $30.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | 53 · Discontinued | $11.75 | $11.75 | $12.02 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 31st of 51
$67.61
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.