How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $8.13 Typical High $8.13 | Professional | None | $7.76 | $8.13 | $8.13 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $3.89 Median $4.07 Typical High $4.07 | Professional | 52 · Reduced service | $3.89 | $4.07 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.62 Typical High $1.62 | Professional | 53 · Discontinued | $1.55 | $1.62 | $1.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.13 Median $11.75 Typical High $16.98 | Professional | None | $8.13 | $11.75 | $16.98 |
Cigna Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $13.49 | Professional | None | $8.91 | $9.12 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $8.91 Typical High $21.38 | Facility | None | $8.13 | $8.91 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $8.71 Median $12.02 Typical High $15.85 | Professional | None | $8.71 | $12.02 | $15.85 |
United Setting Professional Modifier None Typical Low $6.61 Median $8.32 Typical High $13.49 | Professional | None | $6.61 | $8.32 | $13.49 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $4.37 Median $6.46 Typical High $9.55 | Professional | 51 · Multiple procedures | $4.37 | $6.46 | $9.55 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in New York. 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· 39th of 51
$9.12
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.