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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $125.89 | Facility | None | $45.71 | $70.79 | $125.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $44.67 Typical High $56.23 | Professional | None | $25.70 | $44.67 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $66.07 Typical High $158.49 | Facility | None | $48.98 | $66.07 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $32.36 | Professional | None | $13.18 | $16.98 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $25.12 Typical High $33.88 | Facility | None | $18.20 | $25.12 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $34.67 | Professional | None | $28.84 | $33.11 | $34.67 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | None | $23.44 | $23.44 | $30.90 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $30.90 | Professional | None | $10.96 | $15.49 | $30.90 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.17 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.17 |
Where South Carolina sits
The same service costs 4.0 times more in Kansas 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· 3rd of 51
$44.67
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.