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 $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $45.71 | Professional | None | $44.67 | $44.67 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $316.23 | Facility | None | $309.03 | $309.03 | $316.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $57.54 Median $79.43 Typical High $295.12 | Professional | None | $57.54 | $79.43 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $107.15 Median $144.54 Typical High $354.81 | Facility | None | $107.15 | $144.54 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $69.18 | Professional | None | $25.70 | $30.90 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $53.70 Typical High $165.96 | Facility | None | $44.67 | $53.70 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $79.43 | Professional | None | $57.54 | $57.54 | $79.43 |
United Setting Facility Modifier None Typical Low $51.29 Median $51.29 Typical High $69.18 | Facility | None | $51.29 | $51.29 | $69.18 |
United Setting Professional Modifier None Typical Low $23.99 Median $33.88 Typical High $57.54 | Professional | None | $23.99 | $33.88 | $57.54 |
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 $22.39 Median $22.39 Typical High $22.91 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.91 Median $8.91 Typical High $9.12 | Professional | 53 · Discontinued | $8.91 | $8.91 | $9.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $28.84 Typical High $45.71 | Professional | 51 · Multiple procedures | $28.84 | $28.84 | $45.71 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$57.54
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.