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 $20.89 Median $20.89 Typical High $33.11 | Facility | None | $20.89 | $20.89 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $93.33 Median $144.54 Typical High $323.59 | Facility | None | $93.33 | $144.54 | $323.59 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.92 Median $37.15 Typical High $67.61 | Professional | None | $26.92 | $37.15 | $67.61 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $165.96 | Facility | None | $50.12 | $67.61 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $34.67 | Professional | None | $13.49 | $17.38 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $28.18 Typical High $194.98 | Facility | None | $19.95 | $28.18 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $48.98 Typical High $74.13 | Professional | None | $30.20 | $48.98 | $74.13 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Facility | None | $23.99 | $23.99 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $18.20 Typical High $37.15 | Professional | None | $11.22 | $18.20 | $37.15 |
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 $10.47 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.27 |
Where South Carolina sits
The same service costs 3.5 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· 5th of 51
$42.66
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.