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 $0.89 Median $10.96 Typical High $38.90 | Facility | None | $0.89 | $10.96 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $11.75 | Professional | None | $10.23 | $10.96 | $11.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $47.86 Median $66.07 Typical High $275.42 | Facility | None | $47.86 | $66.07 | $275.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.45 Median $22.91 Typical High $28.84 | Professional | None | $14.45 | $22.91 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $275.42 Median $275.42 Typical High $309.03 | Facility | None | $275.42 | $275.42 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $15.49 Median $26.92 Typical High $33.88 | Professional | None | $15.49 | $26.92 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $38.90 | Facility | None | $10.96 | $14.79 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $15.49 Median $34.67 Typical High $36.31 | Professional | None | $15.49 | $34.67 | $36.31 |
United Setting Professional Modifier None Typical Low $10.47 Median $16.60 Typical High $29.51 | Professional | None | $10.47 | $16.60 | $29.51 |
4 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 52 · Reduced service Typical Low $5.50 Median $5.50 Typical High $5.89 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.34 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.34 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $8.71 Median $8.71 Typical High $9.55 | Professional | FX · Film X-ray | $8.71 | $8.71 | $9.55 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $9.77 Median $16.22 Typical High $18.20 | Professional | 51 · Multiple procedures | $9.77 | $16.22 | $18.20 |
Where South Carolina sits
The same service costs 5.5 times more in Alaska than in Florida. 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· 23rd of 51
$20.42
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.