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 $1,047.13 Median $1,047.13 Typical High $1,047.13 | Facility | None | $1,047.13 | $1,047.13 | $1,047.13 |
Aetna Setting Professional Modifier None Typical Low $1,047.13 Median $1,047.13 Typical High $1,071.52 | Professional | None | $1,047.13 | $1,047.13 | $1,071.52 |
BCBS Setting Facility Modifier None Typical Low $1,445.44 Median $1,659.59 Typical High $1,905.46 | Facility | None | $1,445.44 | $1,659.59 | $1,905.46 |
BCBS Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,548.82 | Professional | None | $1,348.96 | $1,348.96 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $2,570.40 Median $3,388.44 Typical High $8,317.64 | Facility | None | $2,570.40 | $3,388.44 | $8,317.64 |
Cigna Setting Professional Modifier None Typical Low $616.60 Median $741.31 Typical High $1,621.81 | Professional | None | $616.60 | $741.31 | $1,621.81 |
Medcost Setting Facility Modifier None Typical Low $954.99 Median $1,258.93 Typical High $1,778.28 | Facility | None | $954.99 | $1,258.93 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,905.46 | Professional | None | $1,348.96 | $1,348.96 | $1,905.46 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $1,202.26 Typical High $1,621.81 | Facility | None | $1,202.26 | $1,202.26 | $1,621.81 |
United Setting Professional Modifier None Typical Low $562.34 Median $812.83 Typical High $1,348.96 | Professional | None | $562.34 | $812.83 | $1,348.96 |
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 $524.81 Median $524.81 Typical High $537.03 | Professional | 52 · Reduced service | $524.81 | $524.81 | $537.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $208.93 Median $208.93 Typical High $213.80 | Professional | 53 · Discontinued | $208.93 | $208.93 | $213.80 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $676.08 Median $676.08 Typical High $1,071.52 | Professional | 51 · Multiple procedures | $676.08 | $676.08 | $1,071.52 |
Where South Carolina sits
The same service costs 5.1 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· 21st of 51
$1,349
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.