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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $75.86 | Professional | None | $74.13 | $74.13 | $75.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $512.86 Typical High $524.81 | Facility | None | $512.86 | $512.86 | $524.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $95.50 Median $97.72 Typical High $147.91 | Professional | None | $95.50 | $97.72 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $177.83 Median $218.78 Typical High $588.84 | Facility | None | $177.83 | $218.78 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $52.48 Typical High $114.82 | Professional | None | $42.66 | $52.48 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $74.13 Median $89.13 Typical High $275.42 | Facility | None | $74.13 | $89.13 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | None | $95.50 | $95.50 | $131.83 |
United Setting Facility Modifier None Typical Low $85.11 Median $85.11 Typical High $114.82 | Facility | None | $85.11 | $85.11 | $114.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $57.54 Typical High $95.50 | Professional | None | $39.81 | $57.54 | $95.50 |
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 $37.15 Median $37.15 Typical High $38.02 | Professional | 52 · Reduced service | $37.15 | $37.15 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | 53 · Discontinued | $14.79 | $14.79 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $47.86 Median $47.86 Typical High $75.86 | Professional | 51 · Multiple procedures | $47.86 | $47.86 | $75.86 |
Where South Carolina sits
The same service costs 3.7 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· 28th of 51
$95.50
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.