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 $93.33 | Facility | None | $37.15 | $37.15 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $57.54 | Professional | None | $37.15 | $37.15 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $52.48 Typical High $74.13 | Professional | None | $33.11 | $52.48 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $87.10 Median $213.80 Typical High $467.74 | Facility | None | $87.10 | $213.80 | $467.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $47.86 Median $48.98 Typical High $112.20 | Professional | None | $47.86 | $48.98 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $120.23 Typical High $295.12 | Facility | None | $89.13 | $120.23 | $295.12 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $58.88 | Professional | None | $23.99 | $33.11 | $58.88 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $72.44 | Facility | None | $35.48 | $47.86 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $77.62 Typical High $81.28 | Professional | None | $57.54 | $77.62 | $81.28 |
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 $30.90 Typical High $61.66 | Professional | None | $19.95 | $30.90 | $61.66 |
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 6.6 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· 9th of 51
$67.61
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.