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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $41.69 | Professional | None | $33.88 | $33.88 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $38.90 Typical High $81.28 | Facility | None | $23.44 | $38.90 | $81.28 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.48 Median $43.65 Typical High $100.00 | Professional | None | $11.48 | $43.65 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $109.65 Typical High $269.15 | Facility | None | $83.18 | $109.65 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $26.30 Typical High $53.70 | Professional | None | $20.42 | $26.30 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $125.89 | Facility | None | $33.88 | $45.71 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $52.48 Median $72.44 Typical High $72.44 | Professional | None | $52.48 | $72.44 | $72.44 |
United Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $52.48 | Facility | None | $38.90 | $38.90 | $52.48 |
United Setting Professional Modifier None Typical Low $18.20 Median $27.54 Typical High $52.48 | Professional | None | $18.20 | $27.54 | $52.48 |
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 $16.98 Median $16.98 Typical High $17.38 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 53 · Discontinued | $6.76 | $6.76 | $6.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $36.31 Typical High $40.74 | Professional | 51 · Multiple procedures | $28.84 | $36.31 | $40.74 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 35th of 51
$38.90
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.