How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None (both parts) Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | None (both parts) | $13.49 | $13.49 | $13.80 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | None (both parts) | $17.38 | $17.38 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $36.31 Typical High $104.71 | Facility | None | $32.36 | $36.31 | $104.71 |
Cigna Setting Professional Modifier None (both parts) Typical Low $19.95 Median $19.95 Typical High $24.55 | Professional | None (both parts) | $19.95 | $19.95 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $30.90 | Facility | None | $12.88 | $16.22 | $30.90 |
Medcost Setting Professional Modifier None (both parts) Typical Low $17.38 Median $17.38 Typical High $20.89 | Professional | None (both parts) | $17.38 | $17.38 | $20.89 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Facility | None | $15.49 | $15.49 | $20.89 |
United Setting Professional Modifier None (both parts) Typical Low $7.24 Median $10.47 Typical High $20.89 | Professional | None (both parts) | $7.24 | $10.47 | $20.89 |
3 more rates 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 26 · Professional part Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 26 · Professional part | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.76 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.75 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in New Mexico. 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· 20th of 51
$17.38
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.