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 $295.12 Median $295.12 Typical High $295.12 | Facility | None | $295.12 | $295.12 | $295.12 |
Aetna Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Professional | None | $295.12 | $295.12 | $302.00 |
BCBS Setting Facility Modifier None Typical Low $1,995.26 Median $1,995.26 Typical High $2,089.30 | Facility | None | $1,995.26 | $1,995.26 | $2,089.30 |
BCBS Setting Professional Modifier None Typical Low $302.00 Median $371.54 Typical High $457.09 | Professional | None | $302.00 | $371.54 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $954.99 Typical High $2,290.87 | Facility | None | $707.95 | $954.99 | $2,290.87 |
Cigna Setting Professional Modifier None Typical Low $169.82 Median $177.83 Typical High $457.09 | Professional | None | $169.82 | $177.83 | $457.09 |
Medcost Setting Facility Modifier None Typical Low $295.12 Median $354.81 Typical High $1,071.52 | Facility | None | $295.12 | $354.81 | $1,071.52 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $371.54 Typical High $524.81 | Professional | None | $371.54 | $371.54 | $524.81 |
United Setting Facility Modifier None Typical Low $338.84 Median $338.84 Typical High $446.68 | Facility | None | $338.84 | $338.84 | $446.68 |
United Setting Professional Modifier None Typical Low $158.49 Median $223.87 Typical High $371.54 | Professional | None | $158.49 | $223.87 | $371.54 |
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 $147.91 Median $147.91 Typical High $151.36 | Professional | 52 · Reduced service | $147.91 | $147.91 | $151.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $58.88 Median $58.88 Typical High $60.26 | Professional | 53 · Discontinued | $58.88 | $58.88 | $60.26 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $186.21 Median $186.21 Typical High $302.00 | Professional | 51 · Multiple procedures | $186.21 | $186.21 | $302.00 |
Where South Carolina sits
The same service costs 6.5 times more in Texas 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· 39th of 51
$302
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.