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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $33.11 | Professional | None | $32.36 | $32.36 | $33.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $89.13 Median $162.18 Typical High $281.84 | Facility | None | $89.13 | $162.18 | $281.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $51.29 | Professional | None | $34.67 | $41.69 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $79.43 Median $107.15 Typical High $257.04 | Facility | None | $79.43 | $107.15 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $27.54 Typical High $60.26 | Professional | None | $21.38 | $27.54 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $43.65 Typical High $120.23 | Facility | None | $32.36 | $43.65 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $70.79 Typical High $75.86 | Professional | None | $50.12 | $70.79 | $75.86 |
United Setting Facility Modifier None Typical Low $37.15 Median $37.15 Typical High $50.12 | Facility | None | $37.15 | $37.15 | $50.12 |
United Setting Professional Modifier None Typical Low $17.38 Median $28.84 Typical High $50.12 | Professional | None | $17.38 | $28.84 | $50.12 |
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 $16.22 Median $16.22 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.22 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.46 Median $6.46 Typical High $6.61 | Professional | 53 · Discontinued | $6.46 | $6.46 | $6.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.20 Median $38.02 Typical High $38.90 | Professional | 51 · Multiple procedures | $30.20 | $38.02 | $38.90 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Delaware. 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
$41.69
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.