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 $46.77 Median $46.77 Typical High $46.77 | Facility | None | $46.77 | $46.77 | $46.77 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $47.86 | Professional | None | $46.77 | $46.77 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $83.18 Typical High $169.82 | Facility | None | $48.98 | $83.18 | $169.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $41.69 Typical High $60.26 | Professional | None | $18.20 | $41.69 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $112.20 Median $125.89 Typical High $371.54 | Facility | None | $112.20 | $125.89 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $27.54 Typical High $64.57 | Professional | None | $10.47 | $27.54 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $46.77 Typical High $79.43 | Facility | None | $16.22 | $46.77 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $28.18 Typical High $30.90 | Professional | None | $19.05 | $28.18 | $30.90 |
United Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $72.44 | Facility | None | $53.70 | $53.70 | $72.44 |
United Setting Professional Modifier None Typical Low $12.30 Median $25.12 Typical High $54.95 | Professional | None | $12.30 | $25.12 | $54.95 |
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 $23.44 Median $23.44 Typical High $23.99 | Professional | 52 · Reduced service | $23.44 | $23.44 | $23.99 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.33 Median $9.33 Typical High $9.55 | Professional | 53 · Discontinued | $9.33 | $9.33 | $9.55 |
Where South Carolina sits
The same service costs 8.7 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· 24th of 51
$46.77
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.