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 $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None | $38.90 | $38.90 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $263.03 Typical High $537.03 | Facility | None | $151.36 | $263.03 | $537.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $83.18 Typical High $125.89 | Professional | None | $50.12 | $83.18 | $125.89 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $128.82 Typical High $309.03 | Facility | None | $95.50 | $128.82 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $33.88 Typical High $61.66 | Professional | None | $25.70 | $33.88 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $50.12 Typical High $83.18 | Facility | None | $38.02 | $50.12 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $60.26 Median $85.11 Typical High $91.20 | Professional | None | $60.26 | $85.11 | $91.20 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Facility | None | $45.71 | $45.71 | $60.26 |
United Setting Professional Modifier None Typical Low $21.38 Median $34.67 Typical High $70.79 | Professional | None | $21.38 | $34.67 | $70.79 |
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 $19.50 Median $19.50 Typical High $19.95 | Professional | 52 · Reduced service | $19.50 | $19.50 | $19.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | 53 · Discontinued | $7.94 | $7.94 | $8.13 |
Where South Carolina sits
The same service costs 3.8 times more in Kansas than in Texas. 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· 4th of 51
$83.18
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.