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 $1.70 Median $1.70 Typical High $1.70 | Facility | None | $1.70 | $1.70 | $1.70 |
Aetna Setting Professional Modifier None Typical Low $1.70 Median $1.70 Typical High $2.51 | Professional | None | $1.70 | $1.70 | $2.51 |
Ambetter Setting Professional Modifier None Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | None | $2.04 | $2.04 | $2.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $7.94 Median $13.18 Typical High $26.92 | Facility | None | $7.94 | $13.18 | $26.92 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.19 Median $3.02 Typical High $5.01 | Professional | None | $2.19 | $3.02 | $5.01 |
Cigna Setting Facility Modifier None Typical Low $4.07 Median $5.50 Typical High $14.13 | Facility | None | $4.07 | $5.50 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $1.15 Median $1.38 Typical High $2.75 | Professional | None | $1.15 | $1.38 | $2.75 |
Medcost Setting Facility Modifier None Typical Low $1.62 Median $2.29 Typical High $8.91 | Facility | None | $1.62 | $2.29 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $3.98 Typical High $7.76 | Professional | None | $2.00 | $3.98 | $7.76 |
United Setting Facility Modifier None Typical Low $1.95 Median $1.95 Typical High $2.57 | Facility | None | $1.95 | $1.95 | $2.57 |
United Setting Professional Modifier None Typical Low $1.29 Median $2.09 Typical High $3.02 | Professional | None | $1.29 | $2.09 | $3.02 |
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 $0.85 Median $0.85 Typical High $0.87 | Professional | 52 · Reduced service | $0.85 | $0.85 | $0.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.34 Median $0.34 Typical High $0.35 | Professional | 53 · Discontinued | $0.34 | $0.34 | $0.35 |
Where South Carolina sits
The same service costs 3.2 times more in Kansas than in Washington, DC. 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· 6th of 51
$3.31
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.