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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $48.98 | Professional | None | $43.65 | $43.65 | $48.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $123.03 Median $204.17 Typical High $389.05 | Facility | None | $123.03 | $204.17 | $389.05 |
BCBS South Carolina Setting Professional Modifier None Typical Low $56.23 Median $117.49 Typical High $141.25 | Professional | None | $56.23 | $117.49 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $104.71 Median $141.25 Typical High $346.74 | Facility | None | $104.71 | $141.25 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $25.12 Median $29.51 Typical High $67.61 | Professional | None | $25.12 | $29.51 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $38.90 Median $56.23 Typical High $91.20 | Facility | None | $38.90 | $56.23 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $95.50 Typical High $102.33 | Professional | None | $67.61 | $95.50 | $102.33 |
United Setting Facility Modifier None Typical Low $50.12 Median $50.12 Typical High $67.61 | Facility | None | $50.12 | $50.12 | $67.61 |
United Setting Professional Modifier None Typical Low $23.44 Median $38.02 Typical High $77.62 | Professional | None | $23.44 | $38.02 | $77.62 |
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 $21.88 Median $21.88 Typical High $22.39 | Professional | 52 · Reduced service | $21.88 | $21.88 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | 53 · Discontinued | $8.71 | $8.71 | $8.91 |
Where South Carolina sits
The same service costs 4.3 times more in Kansas than in Oklahoma. 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· 3rd of 51
$117
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.