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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $14.79 | Professional | None | $13.49 | $13.49 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $91.20 Typical High $120.23 | Facility | None | $61.66 | $91.20 | $120.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $19.95 Typical High $28.84 | Professional | None | $16.98 | $19.95 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $43.65 Typical High $104.71 | Facility | None | $32.36 | $43.65 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $9.55 Typical High $24.55 | Professional | None | $7.94 | $9.55 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $16.22 Typical High $22.91 | Facility | None | $12.88 | $16.22 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Facility | None | $15.49 | $15.49 | $20.42 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.23 Typical High $20.42 | Professional | None | $7.24 | $10.23 | $20.42 |
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 $6.76 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.75 |
Where South Carolina sits
The same service costs 9.5 times more in Minnesota than in Kentucky. 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· 19th of 51
$17.38
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.