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 $37.15 Median $37.15 Typical High $60.26 | Facility | None | $37.15 | $37.15 | $60.26 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | None | $37.15 | $37.15 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $56.23 Median $89.13 Typical High $190.55 | Facility | None | $56.23 | $89.13 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $47.86 | Professional | None | $30.20 | $42.66 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $91.20 Median $141.25 Typical High $295.12 | Facility | None | $91.20 | $141.25 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $22.39 Median $28.84 Typical High $57.54 | Professional | None | $22.39 | $28.84 | $57.54 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $44.67 Typical High $63.10 | Facility | None | $34.67 | $44.67 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $64.57 Typical High $70.79 | Professional | None | $25.70 | $64.57 | $70.79 |
United Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $57.54 | Facility | None | $42.66 | $42.66 | $57.54 |
United Setting Professional Modifier None Typical Low $19.95 Median $28.84 Typical High $57.54 | Professional | None | $19.95 | $28.84 | $57.54 |
2 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 $18.62 Median $18.62 Typical High $19.05 | Professional | 52 · Reduced service | $18.62 | $18.62 | $19.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | 53 · Discontinued | $7.41 | $7.41 | $7.59 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Alabama. 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· 29th of 51
$45.71
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.