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 $26.30 Median $26.30 Typical High $52.48 | Facility | None | $26.30 | $26.30 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | None | $26.30 | $26.30 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $77.62 Median $131.83 Typical High $275.42 | Facility | None | $77.62 | $131.83 | $275.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.11 Median $38.02 Typical High $67.61 | Professional | None | $33.11 | $38.02 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $63.10 Median $85.11 Typical High $204.17 | Facility | None | $63.10 | $85.11 | $204.17 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $45.71 | Professional | None | $15.14 | $16.60 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $123.03 | Facility | None | $26.30 | $41.69 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $43.65 Typical High $46.77 | Professional | None | $36.31 | $43.65 | $46.77 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
United Setting Professional Modifier None Typical Low $19.95 Median $33.11 Typical High $67.61 | Professional | None | $19.95 | $33.11 | $67.61 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $22.91 Typical High $30.90 | Professional | 51 · Multiple procedures | $17.78 | $22.91 | $30.90 |
Where South Carolina sits
The same service costs 5.6 times more in Kansas 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· 11th of 51
$45.71
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.