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 $112.20 Median $112.20 Typical High $229.09 | Facility | None | $112.20 | $112.20 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | None | $112.20 | $112.20 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $204.17 | Professional | None | $204.17 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $93.33 Median $120.23 Typical High $154.88 | Professional | None | $93.33 | $120.23 | $154.88 |
Cigna Setting Facility Modifier None Typical Low $269.15 Median $363.08 Typical High $870.96 | Facility | None | $269.15 | $363.08 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $173.78 | Professional | None | $66.07 | $69.18 | $173.78 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $134.90 Typical High $407.38 | Facility | None | $112.20 | $134.90 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $199.53 | Professional | None | $141.25 | $141.25 | $199.53 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $169.82 | Facility | None | $128.82 | $128.82 | $169.82 |
United Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $141.25 | Professional | None | $60.26 | $85.11 | $141.25 |
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 $56.23 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $70.79 Typical High $114.82 | Professional | 51 · Multiple procedures | $70.79 | $70.79 | $114.82 |
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· 41st of 51
$112
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.