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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $37.15 | Professional | None | $36.31 | $36.31 | $37.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $46.77 Median $85.11 Typical High $109.65 | Professional | None | $46.77 | $85.11 | $109.65 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $288.40 | Facility | None | $87.10 | $117.49 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $56.23 | Professional | None | $21.38 | $27.54 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $36.31 Median $43.65 Typical High $134.90 | Facility | None | $36.31 | $43.65 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $64.57 | Professional | None | $52.48 | $52.48 | $64.57 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Facility | None | $41.69 | $41.69 | $56.23 |
United Setting Professional Modifier None Typical Low $19.50 Median $28.18 Typical High $52.48 | Professional | None | $19.50 | $28.18 | $52.48 |
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 $18.20 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.41 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.30 Median $26.30 Typical High $42.66 | Professional | 51 · Multiple procedures | $26.30 | $26.30 | $42.66 |
Where South Carolina sits
The same service costs 8.3 times more in Texas 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· 26th of 51
$47.86
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.