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 $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $117.49 | Professional | None | $95.50 | $95.50 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $257.04 Median $467.74 Typical High $741.31 | Facility | None | $257.04 | $467.74 | $741.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $123.03 Median $165.96 Typical High $251.19 | Professional | None | $123.03 | $165.96 | $251.19 |
Cigna Setting Facility Modifier None Typical Low $229.09 Median $309.03 Typical High $758.58 | Facility | None | $229.09 | $309.03 | $758.58 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $77.62 Typical High $147.91 | Professional | None | $61.66 | $77.62 | $147.91 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $114.82 Typical High $346.74 | Facility | None | $95.50 | $114.82 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $165.96 Typical High $169.82 | Professional | None | $144.54 | $165.96 | $169.82 |
United Setting Facility Modifier None Typical Low $109.65 Median $109.65 Typical High $144.54 | Facility | None | $109.65 | $109.65 | $144.54 |
United Setting Professional Modifier None Typical Low $51.29 Median $83.18 Typical High $144.54 | Professional | None | $51.29 | $83.18 | $144.54 |
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 $47.86 Median $47.86 Typical High $48.98 | Professional | 52 · Reduced service | $47.86 | $47.86 | $48.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | 53 · Discontinued | $19.05 | $19.05 | $19.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $83.18 Median $83.18 Typical High $112.20 | Professional | 51 · Multiple procedures | $83.18 | $83.18 | $112.20 |
Where South Carolina sits
The same service costs 4.4 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
$123
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.