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 $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $13.49 | Professional | None | $13.18 | $13.18 | $13.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.20 Median $54.95 Typical High $102.33 | Facility | None | $30.20 | $54.95 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $25.70 Typical High $37.15 | Professional | None | $16.98 | $25.70 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $104.71 | Facility | None | $31.62 | $42.66 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $10.96 Typical High $21.38 | Professional | None | $8.51 | $10.96 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $23.99 | Facility | None | $12.30 | $16.98 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $25.12 Typical High $26.92 | Professional | None | $19.05 | $25.12 | $26.92 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Facility | None | $15.14 | $15.14 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $20.89 | Professional | None | $7.08 | $10.23 | $20.89 |
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 18.6 times more in Kansas 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· 5th of 51
$25.70
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.