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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $58.88 | Professional | None | $45.71 | $58.88 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $125.89 | Facility | None | $57.54 | $97.72 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | None | $51.29 | $51.29 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $58.88 Median $70.79 Typical High $79.43 | Facility | None | $58.88 | $70.79 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $53.70 Typical High $83.18 | Professional | None | $47.86 | $53.70 | $83.18 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $3.09 Median $7.76 Typical High $7.76 | Professional | None | $3.09 | $7.76 | $7.76 |
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 $26.92 Median $26.92 Typical High $41.69 | Professional | 51 · Multiple procedures | $26.92 | $26.92 | $41.69 |
Where South Carolina sits
The same service costs 26.3 times more in New York than in Arkansas. 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· 17th of 51
$51.29
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.