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 $7.24 Median $7.24 Typical High $7.24 | Facility | None | $7.24 | $7.24 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | None | $7.24 | $7.24 | $8.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $17.78 Median $32.36 Typical High $64.57 | Facility | None | $17.78 | $32.36 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.33 Median $15.85 Typical High $16.98 | Professional | None | $9.33 | $15.85 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $23.99 Typical High $57.54 | Facility | None | $17.78 | $23.99 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $4.57 Typical High $10.72 | Professional | None | $4.27 | $4.57 | $10.72 |
Medcost Setting Facility Modifier None Typical Low $6.61 Median $9.33 Typical High $12.30 | Facility | None | $6.61 | $9.33 | $12.30 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $24.55 | Professional | None | $7.94 | $12.88 | $24.55 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $11.22 | Facility | None | $8.51 | $8.51 | $11.22 |
United Setting Professional Modifier None Typical Low $3.89 Median $5.62 Typical High $14.13 | Professional | None | $3.89 | $5.62 | $14.13 |
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 $3.63 Median $3.63 Typical High $3.72 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.51 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.51 |
Where South Carolina sits
The same service costs 5.9 times more in Kansas 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· 3rd of 51
$15.85
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.