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 $51.29 Median $64.57 Typical High $104.71 | Facility | None | $51.29 | $64.57 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $61.66 | Professional | None | $51.29 | $51.29 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $83.18 Median $147.91 Typical High $363.08 | Facility | None | $83.18 | $147.91 | $363.08 |
BCBS South Carolina Setting Professional Modifier None Typical Low $66.07 Median $79.43 Typical High $117.49 | Professional | None | $66.07 | $79.43 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $165.96 Typical High $407.38 | Facility | None | $123.03 | $165.96 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $30.90 Typical High $69.18 | Professional | None | $29.51 | $30.90 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $61.66 Typical High $190.55 | Facility | None | $51.29 | $61.66 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $91.20 | Professional | None | $67.61 | $67.61 | $91.20 |
United Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $79.43 | Facility | None | $58.88 | $58.88 | $79.43 |
United Setting Professional Modifier None Typical Low $27.54 Median $39.81 Typical High $67.61 | Professional | None | $27.54 | $39.81 | $67.61 |
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 $25.70 Median $25.70 Typical High $26.30 | Professional | 52 · Reduced service | $25.70 | $25.70 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.47 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $53.70 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Kentucky. 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· 24th of 51
$66.07
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.