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 $10.23 Median $10.23 Typical High $21.38 | Facility | None | $10.23 | $10.23 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $11.48 | Professional | None | $10.23 | $10.23 | $11.48 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | None | $6.61 | $6.61 | $6.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $35.48 Median $64.57 Typical High $102.33 | Facility | None | $35.48 | $64.57 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.18 Median $15.14 Typical High $21.88 | Professional | None | $13.18 | $15.14 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $81.28 | Facility | None | $25.12 | $33.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $15.49 | Professional | None | $6.76 | $8.51 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $12.30 Typical High $19.95 | Facility | None | $10.00 | $12.30 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $18.20 Typical High $18.20 | Professional | None | $15.85 | $18.20 | $18.20 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $15.85 | Facility | None | $12.02 | $12.02 | $15.85 |
United Setting Professional Modifier None Typical Low $5.62 Median $9.12 Typical High $22.39 | Professional | None | $5.62 | $9.12 | $22.39 |
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 $5.13 Median $5.13 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.14 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.14 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in Georgia. 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· 16th of 51
$15.14
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.