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 $7,079.46 Median $7,079.46 Typical High $7,079.46 | Facility | None | $7,079.46 | $7,079.46 | $7,079.46 |
Aetna Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $8,128.31 | Professional | None | $7,079.46 | $7,079.46 | $8,128.31 |
BCBS Setting Facility Modifier RR · Rental Typical Low $1,174.90 Median $1,288.25 Typical High $1,288.25 | Facility | RR · Rental | $1,174.90 | $1,288.25 | $1,288.25 |
BCBS Setting Professional Modifier None Typical Low $3,981.07 Median $5,011.87 Typical High $5,011.87 | Professional | None | $3,981.07 | $5,011.87 | $5,011.87 |
BCBS Setting Professional Modifier RR · Rental Typical Low $398.11 Median $501.19 Typical High $1,288.25 | Professional | RR · Rental | $398.11 | $501.19 | $1,288.25 |
Cigna Setting Facility Modifier None Typical Low $5,011.87 Median $5,011.87 Typical High $5,011.87 | Facility | None | $5,011.87 | $5,011.87 | $5,011.87 |
Cigna Setting Professional Modifier None Typical Low $4,265.80 Median $5,011.87 Typical High $5,370.32 | Professional | None | $4,265.80 | $5,011.87 | $5,370.32 |
Medcost Setting Professional Modifier RR · Rental Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | RR · Rental | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $5,754.40 Median $7,413.10 Typical High $8,912.51 | Facility | None | $5,754.40 | $7,413.10 | $8,912.51 |
Medcost Setting Professional Modifier None Typical Low $7,079.46 Median $7,079.46 Typical High $7,413.10 | Professional | None | $7,079.46 | $7,079.46 | $7,413.10 |
Molina Setting Professional Modifier None Typical Low $309.03 Median $2,238.72 Typical High $4,073.80 | Professional | None | $309.03 | $2,238.72 | $4,073.80 |
United Setting Professional Modifier None Typical Low $2,511.89 Median $3,630.78 Typical High $5,128.61 | Professional | None | $2,511.89 | $3,630.78 | $5,128.61 |
United Setting Professional Modifier RR · Rental Typical Low $371.54 Median $512.86 Typical High $691.83 | Professional | RR · Rental | $371.54 | $512.86 | $691.83 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $5,248.07 Median $5,248.07 Typical High $5,248.07 | Professional | UE · Used equipment | $5,248.07 | $5,248.07 | $5,248.07 |
Where South Carolina sits
The same service costs 11.2 times more in North Dakota than in Montana. 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· 35th of 51
$5,012
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.