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 $1.38 Median $1.38 Typical High $1.38 | Facility | None | $1.38 | $1.38 | $1.38 |
Aetna Setting Professional Modifier None Typical Low $1.38 Median $1.38 Typical High $1.45 | Professional | None | $1.38 | $1.38 | $1.45 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1.58 Median $1.58 Typical High $1.58 | Professional | None | $1.58 | $1.58 | $1.58 |
Cigna Setting Facility Modifier None Typical Low $1.62 Median $2.75 Typical High $3.55 | Facility | None | $1.62 | $2.75 | $3.55 |
Cigna Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $1.45 | Professional | None | $1.45 | $1.45 | $1.45 |
Medcost Setting Facility Modifier None Typical Low $1.38 Median $1.66 Typical High $1.86 | Facility | None | $1.38 | $1.66 | $1.86 |
Medcost Setting Professional Modifier None Typical Low $1.51 Median $1.95 Typical High $2.88 | Professional | None | $1.51 | $1.95 | $2.88 |
United Setting Professional Modifier None Typical Low $0.04 Median $0.09 Typical High $0.09 | Professional | None | $0.04 | $0.09 | $0.09 |
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 $0.98 Median $0.98 Typical High $1.45 | Professional | 51 · Multiple procedures | $0.98 | $0.98 | $1.45 |
Where South Carolina sits
The same service costs 30.9 times more in Montana than in Nebraska. 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· 37th of 51
$1.38
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.