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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $144.54 | Professional | None | $117.49 | $117.49 | $144.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $676.08 Typical High $1,288.25 | Facility | None | $416.87 | $676.08 | $1,288.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $151.36 Median $263.03 Typical High $323.59 | Professional | None | $151.36 | $263.03 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $933.25 | Facility | None | $281.84 | $380.19 | $933.25 |
Cigna Setting Professional Modifier None Typical Low $75.86 Median $97.72 Typical High $257.04 | Professional | None | $75.86 | $97.72 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $436.52 | Facility | None | $117.49 | $158.49 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $128.82 Median $234.42 Typical High $275.42 | Professional | None | $128.82 | $234.42 | $275.42 |
United Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $181.97 | Facility | None | $134.90 | $134.90 | $181.97 |
United Setting Professional Modifier None Typical Low $91.20 Median $151.36 Typical High $407.38 | Professional | None | $91.20 | $151.36 | $407.38 |
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 $58.88 Median $58.88 Typical High $60.26 | Professional | 52 · Reduced service | $58.88 | $58.88 | $60.26 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | 53 · Discontinued | $23.44 | $23.44 | $23.99 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $64.57 Median $138.04 Typical High $169.82 | Professional | 51 · Multiple procedures | $64.57 | $138.04 | $169.82 |
Where South Carolina sits
The same service costs 2.9 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· 5th of 51
$263
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.