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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | None | $45.71 | $45.71 | $54.95 |
Ambetter Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $39.81 | Professional | None | $34.67 | $34.67 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $46.77 Median $54.95 Typical High $83.18 | Professional | None | $46.77 | $54.95 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $147.91 | Facility | None | $45.71 | $57.54 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $47.86 Typical High $81.28 | Professional | None | $29.51 | $47.86 | $81.28 |
United Setting Professional Modifier None Typical Low $47.86 Median $54.95 Typical High $85.11 | Professional | None | $47.86 | $54.95 | $85.11 |
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 $14.79 Median $27.54 Typical High $40.74 | Professional | 51 · Multiple procedures | $14.79 | $27.54 | $40.74 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 46th 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.