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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $162.18 | Professional | None | $131.83 | $131.83 | $162.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $912.01 Median $912.01 Typical High $933.25 | Facility | None | $912.01 | $912.01 | $933.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $89.13 Median $162.18 Typical High $177.83 | Professional | None | $89.13 | $162.18 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $323.59 Median $426.58 Typical High $1,047.13 | Facility | None | $323.59 | $426.58 | $1,047.13 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $79.43 Typical High $177.83 | Professional | None | $60.26 | $79.43 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $123.03 Median $144.54 Typical High $489.78 | Facility | None | $123.03 | $144.54 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $128.82 Typical High $218.78 | Professional | None | $128.82 | $128.82 | $218.78 |
United Setting Facility Modifier None Typical Low $151.36 Median $151.36 Typical High $204.17 | Facility | None | $151.36 | $151.36 | $204.17 |
United Setting Professional Modifier None Typical Low $64.57 Median $85.11 Typical High $154.88 | Professional | None | $64.57 | $85.11 | $154.88 |
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 $66.07 Median $66.07 Typical High $67.61 | Professional | 52 · Reduced service | $66.07 | $66.07 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | 53 · Discontinued | $26.30 | $26.30 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $64.57 Typical High $128.82 | Professional | 51 · Multiple procedures | $64.57 | $64.57 | $128.82 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in North Carolina. 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
$132
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.