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 $66.07 Median $66.07 Typical High $245.47 | Facility | None | $66.07 | $66.07 | $245.47 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $100.00 | Professional | None | $66.07 | $66.07 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $645.65 | Facility | None | $186.21 | $331.13 | $645.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $85.11 Median $173.78 Typical High $213.80 | Professional | None | $85.11 | $173.78 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $162.18 Median $257.04 Typical High $524.81 | Facility | None | $162.18 | $257.04 | $524.81 |
Cigna Setting Professional Modifier None Typical Low $42.66 Median $56.23 Typical High $114.82 | Professional | None | $42.66 | $56.23 | $114.82 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $141.25 Typical High $346.74 | Facility | None | $66.07 | $141.25 | $346.74 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $154.88 | Professional | None | $97.72 | $144.54 | $154.88 |
United Setting Facility Modifier None Typical Low $75.86 Median $75.86 Typical High $102.33 | Facility | None | $75.86 | $75.86 | $102.33 |
United Setting Professional Modifier None Typical Low $35.48 Median $58.88 Typical High $102.33 | Professional | None | $35.48 | $58.88 | $102.33 |
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 $33.11 Median $33.11 Typical High $33.88 | Professional | 52 · Reduced service | $33.11 | $33.11 | $33.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | 53 · Discontinued | $13.18 | $13.18 | $13.49 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $77.62 Typical High $79.43 | Professional | 51 · Multiple procedures | $48.98 | $77.62 | $79.43 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 3rd of 51
$174
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.