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 $63.10 Median $63.10 Typical High $162.18 | Facility | None | $63.10 | $63.10 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $63.10 Typical High $64.57 | Professional | None | $61.66 | $63.10 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $52.48 Median $60.26 Typical High $69.18 | Professional | None | $52.48 | $60.26 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $66.07 Typical High $109.65 | Professional | None | $58.88 | $66.07 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $63.10 Median $70.79 Typical High $162.18 | Facility | None | $63.10 | $70.79 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $85.11 | Professional | None | $67.61 | $67.61 | $85.11 |
Molina Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $66.07 | Professional | None | $33.88 | $44.67 | $66.07 |
United Setting Professional Modifier None Typical Low $53.70 Median $69.18 Typical High $107.15 | Professional | None | $53.70 | $69.18 | $107.15 |
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 53 · Discontinued Typical Low $12.30 Median $12.88 Typical High $12.88 | Professional | 53 · Discontinued | $12.30 | $12.88 | $12.88 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | GC · Resident with teaching physician | $97.72 | $97.72 | $97.72 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $33.88 Typical High $53.70 | Professional | 51 · Multiple procedures | $33.88 | $33.88 | $53.70 |
Where South Carolina sits
The same service costs 3.1 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· 35th of 51
$63.10
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.