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 $56.23 Median $56.23 Typical High $100.00 | Facility | None | $56.23 | $56.23 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $63.10 | Professional | None | $56.23 | $56.23 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $389.05 Typical High $398.11 | Facility | None | $389.05 | $389.05 | $398.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $102.33 | Professional | None | $72.44 | $72.44 | $102.33 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $446.68 | Facility | None | $134.90 | $181.97 | $446.68 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $33.88 Typical High $83.18 | Professional | None | $30.90 | $33.88 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $95.50 | Facility | None | $50.12 | $67.61 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $87.10 | Professional | None | $72.44 | $72.44 | $87.10 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $87.10 | Facility | None | $64.57 | $64.57 | $87.10 |
United Setting Professional Modifier None Typical Low $30.20 Median $43.65 Typical High $87.10 | Professional | None | $30.20 | $43.65 | $87.10 |
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 $28.18 Median $28.18 Typical High $28.84 | Professional | 52 · Reduced service | $28.18 | $28.18 | $28.84 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.48 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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· 22nd of 51
$72.44
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.