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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $102.33 | Professional | None | $100.00 | $100.00 | $102.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $676.08 Typical High $707.95 | Facility | None | $676.08 | $676.08 | $707.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $37.15 Median $89.13 Typical High $131.83 | Professional | None | $37.15 | $89.13 | $131.83 |
Cigna Setting Facility Modifier None Typical Low $239.88 Median $323.59 Typical High $794.33 | Facility | None | $239.88 | $323.59 | $794.33 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $134.90 | Professional | None | $57.54 | $70.79 | $134.90 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $120.23 Typical High $363.08 | Facility | None | $100.00 | $120.23 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $177.83 | Professional | None | $151.36 | $151.36 | $177.83 |
United Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $151.36 | Facility | None | $114.82 | $114.82 | $151.36 |
United Setting Professional Modifier None Typical Low $53.70 Median $75.86 Typical High $151.36 | Professional | None | $53.70 | $75.86 | $151.36 |
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 $50.12 Median $50.12 Typical High $51.29 | Professional | 52 · Reduced service | $50.12 | $50.12 | $51.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | 53 · Discontinued | $19.95 | $19.95 | $20.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $75.86 Median $75.86 Typical High $117.49 | Professional | 51 · Multiple procedures | $75.86 | $75.86 | $117.49 |
Where South Carolina sits
The same service costs 4.6 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· 45th of 51
$97.72
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.