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 $48.98 Median $48.98 Typical High $100.00 | Facility | None | $48.98 | $48.98 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $67.61 | Professional | None | $48.98 | $48.98 | $67.61 |
Ambetter Setting Professional Modifier None Typical Low $30.90 Median $61.66 Typical High $114.82 | Professional | None | $30.90 | $61.66 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $218.78 Median $275.42 Typical High $489.78 | Facility | None | $218.78 | $275.42 | $489.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $107.15 | Professional | None | $61.66 | $79.43 | $107.15 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $158.49 Typical High $380.19 | Facility | None | $117.49 | $158.49 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $37.15 Typical High $70.79 | Professional | None | $29.51 | $37.15 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $91.20 | Facility | None | $43.65 | $57.54 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | None | $74.13 | $79.43 | $79.43 |
United Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
United Setting Professional Modifier None Typical Low $26.30 Median $39.81 Typical High $79.43 | Professional | None | $26.30 | $39.81 | $79.43 |
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 $23.99 Median $23.99 Typical High $25.12 | Professional | 52 · Reduced service | $23.99 | $23.99 | $25.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.00 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 24th of 51
$64.57
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.