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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | None | $22.39 | $22.39 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $204.17 | Facility | None | $75.86 | $114.82 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.84 Median $72.44 Typical High $83.18 | Professional | None | $28.84 | $72.44 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $72.44 Typical High $177.83 | Facility | None | $54.95 | $72.44 | $177.83 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $18.62 Typical High $36.31 | Professional | None | $14.79 | $18.62 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $28.84 Typical High $47.86 | Facility | None | $21.38 | $28.84 | $47.86 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $52.48 | Professional | None | $32.36 | $48.98 | $52.48 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $34.67 | Facility | None | $25.70 | $25.70 | $34.67 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $40.74 | Professional | None | $12.02 | $20.42 | $40.74 |
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 $11.22 Median $11.22 Typical High $11.48 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.57 |
Where South Carolina sits
The same service costs 5.5 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· 2nd of 51
$72.44
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.