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 $79.43 Median $79.43 Typical High $79.43 | Facility | None | $79.43 | $79.43 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $83.18 | Professional | None | $79.43 | $79.43 | $83.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $229.09 Median $380.19 Typical High $724.44 | Facility | None | $229.09 | $380.19 | $724.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $134.90 Typical High $257.04 | Professional | None | $102.33 | $134.90 | $257.04 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $263.03 Typical High $630.96 | Facility | None | $194.98 | $263.03 | $630.96 |
Cigna Setting Professional Modifier None Typical Low $52.48 Median $67.61 Typical High $125.89 | Professional | None | $52.48 | $67.61 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $102.33 Typical High $169.82 | Facility | None | $77.62 | $102.33 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $173.78 Typical High $186.21 | Professional | None | $123.03 | $173.78 | $186.21 |
United Setting Facility Modifier None Typical Low $93.33 Median $93.33 Typical High $123.03 | Facility | None | $93.33 | $93.33 | $123.03 |
United Setting Professional Modifier None Typical Low $43.65 Median $70.79 Typical High $144.54 | Professional | None | $43.65 | $70.79 | $144.54 |
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 $39.81 Median $39.81 Typical High $40.74 | Professional | 52 · Reduced service | $39.81 | $39.81 | $40.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | 53 · Discontinued | $16.22 | $16.22 | $16.60 |
Where South Carolina sits
The same service costs 5.1 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
$145
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.