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 $467.74 Median $467.74 Typical High $467.74 | Facility | None | $467.74 | $467.74 | $467.74 |
Aetna Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $478.63 | Professional | None | $467.74 | $467.74 | $478.63 |
BCBS Setting Facility Modifier None Typical Low $3,235.94 Median $3,235.94 Typical High $3,311.31 | Facility | None | $3,235.94 | $3,235.94 | $3,311.31 |
BCBS Setting Professional Modifier None Typical Low $446.68 Median $588.84 Typical High $724.44 | Professional | None | $446.68 | $588.84 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $1,122.02 Median $1,513.56 Typical High $3,715.35 | Facility | None | $1,122.02 | $1,513.56 | $3,715.35 |
Cigna Setting Professional Modifier None Typical Low $275.42 Median $281.84 Typical High $724.44 | Professional | None | $275.42 | $281.84 | $724.44 |
Medcost Setting Facility Modifier None Typical Low $467.74 Median $562.34 Typical High $1,737.80 | Facility | None | $467.74 | $562.34 | $1,737.80 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $831.76 | Professional | None | $602.56 | $602.56 | $831.76 |
United Setting Facility Modifier None Typical Low $537.03 Median $537.03 Typical High $724.44 | Facility | None | $537.03 | $537.03 | $724.44 |
United Setting Professional Modifier None Typical Low $251.19 Median $363.08 Typical High $602.56 | Professional | None | $251.19 | $363.08 | $602.56 |
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 $234.42 Median $234.42 Typical High $239.88 | Professional | 52 · Reduced service | $234.42 | $234.42 | $239.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $93.33 Median $93.33 Typical High $95.50 | Professional | 53 · Discontinued | $93.33 | $93.33 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $302.00 Typical High $478.63 | Professional | 51 · Multiple procedures | $302.00 | $302.00 | $478.63 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Delaware. 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· 42nd of 51
$468
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.