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 $39.81 Median $39.81 Typical High $81.28 | Facility | None | $39.81 | $39.81 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None | $39.81 | $39.81 | $40.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $186.21 Median $331.13 Typical High $660.69 | Facility | None | $186.21 | $331.13 | $660.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $51.29 Median $154.88 Typical High $204.17 | Professional | None | $51.29 | $154.88 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $316.23 | Facility | None | $97.72 | $128.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $26.92 Typical High $63.10 | Professional | None | $23.44 | $26.92 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $147.91 | Facility | None | $39.81 | $53.70 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $72.44 Typical High $72.44 | Professional | None | $57.54 | $72.44 | $72.44 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Facility | None | $45.71 | $45.71 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $51.29 Typical High $109.65 | Professional | None | $30.90 | $51.29 | $109.65 |
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 $19.95 Median $19.95 Typical High $20.42 | Professional | 52 · Reduced service | $19.95 | $19.95 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $36.31 Typical High $42.66 | Professional | 51 · Multiple procedures | $28.84 | $36.31 | $42.66 |
Where South Carolina sits
The same service costs 4.6 times more in South Carolina than in Connecticut. 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· 1st of 51
$155
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.