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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.77 | Professional | None | $9.33 | $9.33 | $9.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.92 Median $44.67 Typical High $83.18 | Facility | None | $26.92 | $44.67 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.02 Median $15.14 Typical High $15.14 | Professional | None | $12.02 | $15.14 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $74.13 | Facility | None | $22.91 | $30.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $5.50 Median $6.76 Typical High $18.62 | Professional | None | $5.50 | $6.76 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $11.48 Typical High $34.67 | Facility | None | $9.33 | $11.48 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $15.85 | Professional | None | $11.75 | $15.14 | $15.85 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Facility | None | $10.96 | $10.96 | $14.45 |
United Setting Professional Modifier None Typical Low $6.92 Median $12.02 Typical High $23.99 | Professional | None | $6.92 | $12.02 | $23.99 |
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 $4.68 Median $4.68 Typical High $4.79 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.89 Median $7.59 Typical High $9.12 | Professional | 51 · Multiple procedures | $5.89 | $7.59 | $9.12 |
Where South Carolina sits
The same service costs 3.2 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· 15th of 51
$15.14
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.