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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $97.72 | Professional | None | $79.43 | $79.43 | $97.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $549.54 Median $549.54 Typical High $562.34 | Facility | None | $549.54 | $549.54 | $562.34 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $181.97 Typical High $234.42 | Professional | None | $102.33 | $181.97 | $234.42 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $257.04 Typical High $630.96 | Facility | None | $194.98 | $257.04 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $125.89 | Professional | None | $46.77 | $56.23 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $79.43 Median $95.50 Typical High $295.12 | Facility | None | $79.43 | $95.50 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $144.54 | Professional | None | $102.33 | $102.33 | $144.54 |
United Setting Facility Modifier None Typical Low $91.20 Median $91.20 Typical High $123.03 | Facility | None | $91.20 | $91.20 | $123.03 |
United Setting Professional Modifier None Typical Low $42.66 Median $61.66 Typical High $102.33 | Professional | None | $42.66 | $61.66 | $102.33 |
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 $39.81 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | 53 · Discontinued | $15.85 | $15.85 | $16.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $51.29 Median $51.29 Typical High $81.28 | Professional | 51 · Multiple procedures | $51.29 | $51.29 | $81.28 |
Where South Carolina sits
The same service costs 3.7 times more in Kansas 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· 29th of 51
$102
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.