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 $30.20 Median $38.02 Typical High $72.44 | Facility | None | $30.20 | $38.02 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Professional | None | $30.20 | $30.20 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $60.26 | Professional | None | $26.92 | $26.92 | $60.26 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $165.96 Typical High $346.74 | Facility | None | $95.50 | $165.96 | $346.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $38.90 Median $40.74 Typical High $87.10 | Professional | None | $38.90 | $40.74 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $239.88 | Facility | None | $72.44 | $109.65 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $19.50 Median $25.12 Typical High $48.98 | Professional | None | $19.50 | $25.12 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $28.84 Median $40.74 Typical High $251.19 | Facility | None | $28.84 | $40.74 | $251.19 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $64.57 Typical High $70.79 | Professional | None | $42.66 | $64.57 | $70.79 |
United Setting Facility Modifier None Typical Low $34.67 Median $34.67 Typical High $46.77 | Facility | None | $34.67 | $34.67 | $46.77 |
United Setting Professional Modifier None Typical Low $16.22 Median $24.55 Typical High $48.98 | Professional | None | $16.22 | $24.55 | $48.98 |
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 $15.14 Median $15.14 Typical High $15.49 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.17 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.17 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska 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· 8th of 51
$57.54
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.