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 $85.11 Median $85.11 Typical High $85.11 | Facility | None | $85.11 | $85.11 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $85.11 Typical High $87.10 | Professional | None | $85.11 | $85.11 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $676.08 | Facility | None | $645.65 | $645.65 | $676.08 |
BCBS South Carolina Setting Professional Modifier None Typical Low $67.61 Median $109.65 Typical High $123.03 | Professional | None | $67.61 | $109.65 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $204.17 Median $275.42 Typical High $676.08 | Facility | None | $204.17 | $275.42 | $676.08 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $114.82 | Professional | None | $53.70 | $69.18 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $85.11 Median $102.33 Typical High $316.23 | Facility | None | $85.11 | $102.33 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $131.83 Median $147.91 Typical High $151.36 | Professional | None | $131.83 | $147.91 | $151.36 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $131.83 | Facility | None | $97.72 | $97.72 | $131.83 |
United Setting Professional Modifier None Typical Low $45.71 Median $74.13 Typical High $131.83 | Professional | None | $45.71 | $74.13 | $131.83 |
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 $42.66 Median $42.66 Typical High $43.65 | Professional | 52 · Reduced service | $42.66 | $42.66 | $43.65 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | 53 · Discontinued | $16.98 | $16.98 | $17.38 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | 51 · Multiple procedures | $74.13 | $74.13 | $102.33 |
Where South Carolina sits
The same service costs 3.9 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· 40th 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.