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 $16.60 Median $19.95 Typical High $33.88 | Facility | None | $16.60 | $19.95 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $16.60 Typical High $18.20 | Professional | None | $12.59 | $16.60 | $18.20 |
Ambetter Setting Professional Modifier None Typical Low $10.47 Median $33.11 Typical High $38.90 | Professional | None | $10.47 | $33.11 | $38.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $64.57 Typical High $144.54 | Facility | None | $31.62 | $64.57 | $144.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $28.84 | Professional | None | $18.20 | $20.89 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $128.82 | Facility | None | $39.81 | $53.70 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $10.23 Typical High $25.12 | Professional | None | $9.77 | $10.23 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $17.78 Typical High $28.18 | Facility | None | $14.79 | $17.78 | $28.18 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $25.70 | Professional | None | $16.98 | $22.39 | $25.70 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $25.12 | Facility | None | $19.05 | $19.05 | $25.12 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $22.39 | Professional | None | $7.41 | $10.47 | $22.39 |
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 $8.32 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.39 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.39 |
Where South Carolina sits
The same service costs 6.6 times more in Vermont than in Kentucky. 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· 22nd of 51
$20.89
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.