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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | None | $26.92 | $26.92 | $27.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $223.87 Typical High $457.09 | Facility | None | $151.36 | $223.87 | $457.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $34.67 Median $109.65 Typical High $144.54 | Professional | None | $34.67 | $109.65 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $213.80 | Facility | None | $66.07 | $89.13 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $21.38 Typical High $43.65 | Professional | None | $16.22 | $21.38 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $36.31 Typical High $100.00 | Facility | None | $26.92 | $36.31 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $41.69 Median $58.88 Typical High $58.88 | Professional | None | $41.69 | $58.88 | $58.88 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $41.69 | Facility | None | $31.62 | $31.62 | $41.69 |
United Setting Professional Modifier None Typical Low $20.89 Median $34.67 Typical High $87.10 | Professional | None | $20.89 | $34.67 | $87.10 |
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 $13.49 Median $13.49 Typical High $13.80 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.62 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.62 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $29.51 Typical High $32.36 | Professional | 51 · Multiple procedures | $22.91 | $29.51 | $32.36 |
Where South Carolina sits
The same service costs 4.6 times more in Kentucky 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· 2nd of 51
$110
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.