How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | None | $27.54 | $27.54 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $144.54 Typical High $275.42 | Facility | None | $95.50 | $144.54 | $275.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $35.48 Typical High $48.98 | Professional | None | $30.20 | $35.48 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $213.80 | Facility | None | $66.07 | $89.13 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $52.48 | Professional | None | $17.78 | $22.91 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $37.15 Typical High $100.00 | Facility | None | $27.54 | $37.15 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $60.26 Typical High $72.44 | Professional | None | $41.69 | $60.26 | $72.44 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69 | Facility | None | $31.62 | $31.62 | $41.69 |
United Setting Professional Modifier None Typical Low $14.79 Median $23.99 Typical High $41.69 | Professional | None | $14.79 | $23.99 | $41.69 |
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 $13.80 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.39 Median $32.36 Typical High $37.15 | Professional | 51 · Multiple procedures | $22.39 | $32.36 | $37.15 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 23rd of 51
$37.15
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.