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 $2.04 Median $2.04 Typical High $2.04 | Facility | None | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.51 | Professional | None | $2.04 | $2.04 | $2.51 |
Cigna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | None | $33.88 | $33.88 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $2.09 Median $2.45 Typical High $4.07 | Facility | None | $2.09 | $2.45 | $4.07 |
Medcost Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $3.89 | Professional | None | $2.63 | $2.95 | $3.89 |
Molina Setting Professional Modifier None Typical Low $7.59 Median $30.20 Typical High $30.20 | Professional | None | $7.59 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $1.41 Median $1.58 Typical High $2.75 | Professional | None | $1.41 | $1.58 | $2.75 |
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 $1.32 Median $1.48 Typical High $2.29 | Professional | 51 · Multiple procedures | $1.32 | $1.48 | $2.29 |
Where South Carolina sits
The same service costs 74.1 times more in Wyoming than in Kentucky. 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· 43rd of 51
$2.04
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.