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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $45.71 Typical High $46.77 | Professional | None | $40.74 | $45.71 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $42.66 Median $79.43 Typical High $138.04 | Facility | None | $42.66 | $79.43 | $138.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.60 Median $23.99 Typical High $57.54 | Professional | None | $16.60 | $23.99 | $57.54 |
Cigna Setting Facility Modifier None Typical Low $109.65 Median $120.23 Typical High $354.81 | Facility | None | $109.65 | $120.23 | $354.81 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $26.30 Typical High $60.26 | Professional | None | $12.59 | $26.30 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $45.71 Typical High $165.96 | Facility | None | $28.18 | $45.71 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $37.15 Typical High $69.18 | Professional | None | $32.36 | $37.15 | $69.18 |
United Setting Facility Modifier None Typical Low $52.48 Median $52.48 Typical High $69.18 | Facility | None | $52.48 | $52.48 | $69.18 |
United Setting Professional Modifier None Typical Low $14.13 Median $24.55 Typical High $46.77 | Professional | None | $14.13 | $24.55 | $46.77 |
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 $22.39 Median $22.39 Typical High $23.44 | Professional | 52 · Reduced service | $22.39 | $22.39 | $23.44 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.33 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.22 Median $18.62 Typical High $43.65 | Professional | 51 · Multiple procedures | $16.22 | $18.62 | $43.65 |
Where South Carolina sits
The same service costs 5.1 times more in Alaska than in Kansas. 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· 28th of 51
$42.66
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.