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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $39.81 | Professional | None | $38.90 | $38.90 | $39.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $295.12 Median $295.12 Typical High $302.00 | Facility | None | $295.12 | $295.12 | $302.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $100.00 | Professional | None | $50.12 | $67.61 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $125.89 Typical High $302.00 | Facility | None | $93.33 | $125.89 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $52.48 | Professional | None | $24.55 | $31.62 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $46.77 Typical High $141.25 | Facility | None | $38.90 | $46.77 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $67.61 Typical High $69.18 | Professional | None | $58.88 | $67.61 | $69.18 |
United Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $58.88 | Facility | None | $44.67 | $44.67 | $58.88 |
United Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $58.88 | Professional | None | $20.89 | $33.88 | $58.88 |
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 $19.50 Median $19.50 Typical High $19.95 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | 53 · Discontinued | $7.76 | $7.76 | $7.94 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $45.71 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $45.71 |
Where South Carolina sits
The same service costs 5.8 times more in Texas than in New Mexico. 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· 28th of 51
$50.12
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.