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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | None | $69.18 | $69.18 | $70.79 |
BCBS Setting Facility Modifier None Typical Low $467.74 Median $467.74 Typical High $489.78 | Facility | None | $467.74 | $467.74 | $489.78 |
BCBS Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $549.54 | Facility | None | $165.96 | $223.87 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $46.77 Typical High $107.15 | Professional | None | $39.81 | $46.77 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $83.18 Typical High $251.19 | Facility | None | $69.18 | $83.18 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $123.03 | Professional | None | $89.13 | $89.13 | $123.03 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Facility | None | $79.43 | $79.43 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $89.13 | Professional | None | $37.15 | $52.48 | $89.13 |
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 $34.67 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $70.79 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $70.79 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Florida. 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
$89.13
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.