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 $67.61 Median $67.61 Typical High $67.61 | Facility | None | $67.61 | $67.61 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $69.18 | Professional | None | $67.61 | $67.61 | $69.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $190.55 Median $316.23 Typical High $616.60 | Facility | None | $190.55 | $316.23 | $616.60 |
BCBS South Carolina Setting Professional Modifier None Typical Low $87.10 Median $91.20 Typical High $218.78 | Professional | None | $87.10 | $91.20 | $218.78 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $218.78 Typical High $537.03 | Facility | None | $165.96 | $218.78 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $60.26 Typical High $104.71 | Professional | None | $43.65 | $60.26 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $144.54 | Facility | None | $64.57 | $87.10 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $147.91 Typical High $158.49 | Professional | None | $104.71 | $147.91 | $158.49 |
United Setting Facility Modifier None Typical Low $77.62 Median $77.62 Typical High $104.71 | Facility | None | $77.62 | $77.62 | $104.71 |
United Setting Professional Modifier None Typical Low $36.31 Median $58.88 Typical High $120.23 | Professional | None | $36.31 | $58.88 | $120.23 |
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 $33.88 Median $33.88 Typical High $34.67 | Professional | 52 · Reduced service | $33.88 | $33.88 | $34.67 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | 53 · Discontinued | $13.49 | $13.49 | $13.80 |
Where South Carolina sits
The same service costs 4.1 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· 10th of 51
$120
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.