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 $13.18 Median $16.22 Typical High $26.92 | Facility | None | $13.18 | $16.22 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $16.22 | Professional | None | $13.18 | $13.18 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $16.60 | Professional | None | $11.75 | $11.75 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $169.82 | Facility | None | $38.90 | $72.44 | $169.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $20.42 | Professional | None | $15.14 | $15.85 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $104.71 | Facility | None | $31.62 | $50.12 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $21.88 | Professional | None | $8.51 | $10.96 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $42.66 | Facility | None | $8.32 | $15.14 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $19.95 | Professional | None | $10.23 | $10.23 | $19.95 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
United Setting Professional Modifier None Typical Low $4.37 Median $9.12 Typical High $19.95 | Professional | None | $4.37 | $9.12 | $19.95 |
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 $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Where South Carolina sits
The same service costs 7.9 times more in Vermont 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· 30th of 51
$16.60
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.