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 $70.79 Median $70.79 Typical High $147.91 | Facility | None | $70.79 | $70.79 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $87.10 | Professional | None | $70.79 | $70.79 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $199.53 Median $363.08 Typical High $562.34 | Facility | None | $199.53 | $363.08 | $562.34 |
BCBS South Carolina Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $125.89 | Professional | None | $91.20 | $91.20 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $562.34 | Facility | None | $173.78 | $234.42 | $562.34 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $57.54 Typical High $95.50 | Professional | None | $45.71 | $57.54 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $85.11 Typical High $263.03 | Facility | None | $70.79 | $85.11 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $125.89 Typical High $128.82 | Professional | None | $109.65 | $125.89 | $128.82 |
United Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $109.65 | Facility | None | $83.18 | $83.18 | $109.65 |
United Setting Professional Modifier None Typical Low $38.90 Median $63.10 Typical High $109.65 | Professional | None | $38.90 | $63.10 | $109.65 |
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 $35.48 Median $35.48 Typical High $36.31 | Professional | 52 · Reduced service | $35.48 | $35.48 | $36.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | 53 · Discontinued | $14.45 | $14.45 | $14.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $85.11 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $85.11 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Connecticut. 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
$91.20
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.