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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | None | $37.15 | $37.15 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.00 Median $204.17 Typical High $263.03 | Facility | None | $10.00 | $204.17 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $109.65 | Professional | None | $46.77 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $288.40 | Facility | None | $89.13 | $120.23 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $58.88 | Professional | None | $21.38 | $25.70 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $44.67 Typical High $134.90 | Facility | None | $37.15 | $44.67 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $66.07 | Professional | None | $46.77 | $46.77 | $66.07 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $56.23 | Facility | None | $42.66 | $42.66 | $56.23 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.18 Typical High $46.77 | Professional | None | $19.95 | $28.18 | $46.77 |
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 Professional Modifier 52 · Reduced service Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $23.44 Typical High $38.02 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $38.02 |
Where South Carolina sits
The same service costs 5.8 times more in Kansas than in Oklahoma. 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
$46.77
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.