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 $112.20 Median $112.20 Typical High $263.03 | Facility | None | $112.20 | $112.20 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $114.82 | Professional | None | $112.20 | $112.20 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $208.93 Median $389.05 Typical High $794.33 | Facility | None | $208.93 | $389.05 | $794.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $144.54 Median $204.17 Typical High $302.00 | Professional | None | $144.54 | $204.17 | $302.00 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $436.52 Typical High $891.25 | Facility | None | $275.42 | $436.52 | $891.25 |
Cigna Setting Professional Modifier None Typical Low $66.07 Median $83.18 Typical High $229.09 | Professional | None | $66.07 | $83.18 | $229.09 |
Medcost Setting Facility Modifier None Typical Low $112.20 Median $204.17 Typical High $501.19 | Facility | None | $112.20 | $204.17 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $229.09 Typical High $229.09 | Professional | None | $173.78 | $229.09 | $229.09 |
United Setting Facility Modifier None Typical Low $128.82 Median $128.82 Typical High $173.78 | Facility | None | $128.82 | $128.82 | $173.78 |
United Setting Professional Modifier None Typical Low $87.10 Median $144.54 Typical High $338.84 | Professional | None | $87.10 | $144.54 | $338.84 |
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 $56.23 Median $56.23 Typical High $57.54 | Professional | 52 · Reduced service | $56.23 | $56.23 | $57.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | 53 · Discontinued | $22.39 | $22.39 | $22.91 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $89.13 Median $112.20 Typical High $131.83 | Professional | 51 · Multiple procedures | $89.13 | $112.20 | $131.83 |
Where South Carolina sits
The same service costs 5.0 times more in Kansas than in Alabama. 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· 16th of 51
$204
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.