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 $3.24 Median $3.24 Typical High $3.24 | Facility | None | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $3.24 | Professional | None | $2.45 | $3.24 | $3.24 |
BCBS Setting Facility Modifier None Typical Low $3.72 Median $4.07 Typical High $4.07 | Facility | None | $3.72 | $4.07 | $4.07 |
BCBS Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $4.07 | Professional | None | $2.45 | $3.02 | $4.07 |
Cigna Setting Facility Modifier None Typical Low $2.40 Median $2.40 Typical High $2.57 | Facility | None | $2.40 | $2.40 | $2.57 |
Cigna Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.57 | Professional | None | $2.04 | $2.04 | $2.57 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.00 Typical High $2.57 | Professional | None | $2.00 | $2.00 | $2.57 |
Medcost Setting Facility Modifier None Typical Low $1.10 Median $3.39 Typical High $4.90 | Facility | None | $1.10 | $3.39 | $4.90 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.31 Typical High $5.37 | Professional | None | $3.02 | $3.31 | $5.37 |
Molina Setting Professional Modifier None Typical Low $3.16 Median $3.16 Typical High $3.16 | Professional | None | $3.16 | $3.16 | $3.16 |
United Setting Professional Modifier None Typical Low $1.32 Median $1.91 Typical High $2.45 | Professional | None | $1.32 | $1.91 | $2.45 |
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 $1.51 Median $1.70 Typical High $3.55 | Professional | 51 · Multiple procedures | $1.51 | $1.70 | $3.55 |
Where South Carolina sits
The same service costs 2.1 times more in Idaho 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· 24th of 51
$3.02
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.