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 $61.66 Median $100.00 Typical High $177.83 | Facility | None | $61.66 | $100.00 | $177.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $39.81 Typical High $63.10 | Professional | None | $25.70 | $39.81 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $158.49 | Facility | None | $47.86 | $64.57 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $31.62 | Professional | None | $12.59 | $16.60 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $41.69 | Facility | None | $19.05 | $25.70 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $45.71 Typical High $61.66 | Professional | None | $28.18 | $45.71 | $61.66 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | None | $22.91 | $22.91 | $30.90 |
United Setting Professional Modifier None Typical Low $10.72 Median $16.98 Typical High $34.67 | Professional | None | $10.72 | $16.98 | $34.67 |
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 $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska 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· 5th of 51
$39.81
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.