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 $186.21 Median $186.21 Typical High $186.21 | Facility | None | $186.21 | $186.21 | $186.21 |
Aetna Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $190.55 | Professional | None | $186.21 | $186.21 | $190.55 |
BCBS Setting Facility Modifier None Typical Low $1,288.25 Median $1,288.25 Typical High $1,318.26 | Facility | None | $1,288.25 | $1,288.25 | $1,318.26 |
BCBS Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $239.88 | Professional | None | $128.82 | $186.21 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $602.56 Typical High $1,479.11 | Facility | None | $446.68 | $602.56 | $1,479.11 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $109.65 Typical High $251.19 | Professional | None | $75.86 | $109.65 | $251.19 |
Medcost Setting Facility Modifier None Typical Low $154.88 Median $204.17 Typical High $691.83 | Facility | None | $154.88 | $204.17 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $309.03 | Professional | None | $162.18 | $162.18 | $309.03 |
United Setting Facility Modifier None Typical Low $213.80 Median $213.80 Typical High $288.40 | Facility | None | $213.80 | $213.80 | $288.40 |
United Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $218.78 | Professional | None | $81.28 | $112.20 | $218.78 |
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 $93.33 Median $93.33 Typical High $95.50 | Professional | 52 · Reduced service | $93.33 | $93.33 | $95.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $37.15 Median $37.15 Typical High $38.02 | Professional | 53 · Discontinued | $37.15 | $37.15 | $38.02 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $81.28 Median $81.28 Typical High $177.83 | Professional | 51 · Multiple procedures | $81.28 | $81.28 | $177.83 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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
$162
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.