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 $10.47 Median $13.49 Typical High $38.90 | Facility | None | $10.47 | $13.49 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $12.88 | Professional | None | $10.47 | $10.47 | $12.88 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None | $20.89 | $20.89 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $44.67 Median $79.43 Typical High $162.18 | Facility | None | $44.67 | $79.43 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.49 Median $19.05 Typical High $23.44 | Professional | None | $13.49 | $19.05 | $23.44 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $39.81 Typical High $83.18 | Facility | None | $25.70 | $39.81 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $17.38 | Professional | None | $6.76 | $8.71 | $17.38 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $56.23 | Facility | None | $9.33 | $12.59 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $16.22 Typical High $26.92 | Professional | None | $14.13 | $16.22 | $26.92 |
United Setting Facility Modifier None Typical Low $12.02 Median $12.02 Typical High $16.22 | Facility | None | $12.02 | $12.02 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $7.59 Typical High $16.22 | Professional | None | $5.62 | $7.59 | $16.22 |
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 $5.25 Median $5.25 Typical High $5.37 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.14 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.14 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Maryland. 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· 13th of 51
$19.05
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.