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 $63.10 Median $63.10 Typical High $63.10 | Facility | None | $63.10 | $63.10 | $63.10 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $63.10 Typical High $64.57 | Professional | None | $63.10 | $63.10 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $177.83 Median $302.00 Typical High $562.34 | Facility | None | $177.83 | $302.00 | $562.34 |
BCBS South Carolina Setting Professional Modifier None Typical Low $81.28 Median $112.20 Typical High $204.17 | Professional | None | $81.28 | $112.20 | $204.17 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $204.17 Typical High $489.78 | Facility | None | $151.36 | $204.17 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $61.66 Typical High $97.72 | Professional | None | $36.31 | $61.66 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $131.83 | Facility | None | $56.23 | $81.28 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $138.04 Typical High $144.54 | Professional | None | $95.50 | $138.04 | $144.54 |
United Setting Facility Modifier None Typical Low $72.44 Median $72.44 Typical High $95.50 | Facility | None | $72.44 | $72.44 | $95.50 |
United Setting Professional Modifier None Typical Low $33.88 Median $54.95 Typical High $112.20 | Professional | None | $33.88 | $54.95 | $112.20 |
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 $31.62 Median $31.62 Typical High $32.36 | Professional | 52 · Reduced service | $31.62 | $31.62 | $32.36 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | 53 · Discontinued | $12.59 | $12.59 | $12.88 |
Where South Carolina sits
The same service costs 4.6 times more in Kansas 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
$112
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.