How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $42.66 Median $42.66 Typical High $67.61 | Facility | None | $42.66 | $42.66 | $67.61 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $42.66 Typical High $43.65 | Professional | None | $42.66 | $42.66 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $302.00 | Facility | None | $288.40 | $288.40 | $302.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $58.88 | Professional | None | $53.70 | $53.70 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $102.33 Median $138.04 Typical High $338.84 | Facility | None | $102.33 | $138.04 | $338.84 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $41.69 Typical High $66.07 | Professional | None | $24.55 | $41.69 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $154.88 | Facility | None | $38.02 | $51.29 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $64.57 | Professional | None | $53.70 | $53.70 | $64.57 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $64.57 | Facility | None | $48.98 | $48.98 | $64.57 |
United Setting Professional Modifier None Typical Low $22.91 Median $32.36 Typical High $64.57 | Professional | None | $22.91 | $32.36 | $64.57 |
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 $21.38 Median $21.38 Typical High $21.88 | Professional | 52 · Reduced service | $21.38 | $21.38 | $21.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $8.51 Median $8.51 Typical High $8.71 | Professional | 53 · Discontinued | $8.51 | $8.51 | $8.71 |
Where South Carolina sits
The same service costs 5.6 times more in Alaska than in Kentucky. 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· 21st of 51
$53.70
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.