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 $97.72 Median $97.72 Typical High $199.53 | Facility | None | $97.72 | $97.72 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $97.72 Typical High $109.65 | Professional | None | $97.72 | $97.72 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $691.83 | Facility | None | $676.08 | $676.08 | $691.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $186.21 | Professional | None | $125.89 | $125.89 | $186.21 |
Cigna Setting Facility Modifier None Typical Low $234.42 Median $316.23 Typical High $776.25 | Facility | None | $234.42 | $316.23 | $776.25 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $58.88 Typical High $151.36 | Professional | None | $56.23 | $58.88 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $97.72 Median $117.49 Typical High $363.08 | Facility | None | $97.72 | $117.49 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $173.78 | Professional | None | $125.89 | $125.89 | $173.78 |
United Setting Facility Modifier None Typical Low $112.20 Median $112.20 Typical High $151.36 | Facility | None | $112.20 | $112.20 | $151.36 |
United Setting Professional Modifier None Typical Low $52.48 Median $74.13 Typical High $125.89 | Professional | None | $52.48 | $74.13 | $125.89 |
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 $48.98 Median $48.98 Typical High $50.12 | Professional | 52 · Reduced service | $48.98 | $48.98 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.50 | $19.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $100.00 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $100.00 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 23rd of 51
$126
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.