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 $33.11 Median $33.11 Typical High $69.18 | Facility | None | $33.11 | $33.11 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $42.66 | Professional | None | $33.11 | $33.11 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $79.43 | Professional | None | $67.61 | $67.61 | $79.43 |
BCBS South Carolina Setting Facility Modifier None Typical Low $97.72 Median $186.21 Typical High $602.56 | Facility | None | $97.72 | $186.21 | $602.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $42.66 Median $72.44 Typical High $107.15 | Professional | None | $42.66 | $72.44 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $81.28 Median $109.65 Typical High $263.03 | Facility | None | $81.28 | $109.65 | $263.03 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $77.62 | Professional | None | $21.88 | $28.18 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $70.79 Typical High $309.03 | Facility | None | $33.11 | $70.79 | $309.03 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $72.44 Typical High $181.97 | Professional | None | $51.29 | $72.44 | $181.97 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $51.29 | Facility | None | $38.90 | $38.90 | $51.29 |
United Setting Professional Modifier None Typical Low $17.78 Median $29.51 Typical High $51.29 | Professional | None | $17.78 | $29.51 | $51.29 |
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 $16.60 Median $16.60 Typical High $16.98 | Professional | 52 · Reduced service | $16.60 | $16.60 | $16.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.92 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $38.90 Typical High $89.13 | Professional | 51 · Multiple procedures | $30.20 | $38.90 | $89.13 |
Where South Carolina sits
The same service costs 4.2 times more in Vermont 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· 4th of 51
$72.44
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.