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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.00 | Professional | None | $9.77 | $9.77 | $10.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $32.36 Median $60.26 Typical High $123.03 | Facility | None | $32.36 | $60.26 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.02 Median $12.59 Typical High $32.36 | Professional | None | $12.02 | $12.59 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $23.44 Median $31.62 Typical High $77.62 | Facility | None | $23.44 | $31.62 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.13 Typical High $15.85 | Professional | None | $6.46 | $8.13 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $12.59 Typical High $20.89 | Facility | None | $9.33 | $12.59 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $28.84 | Professional | None | $14.13 | $22.91 | $28.84 |
United Setting Facility Modifier None Typical Low $11.22 Median $11.22 Typical High $15.14 | Facility | None | $11.22 | $11.22 | $15.14 |
United Setting Professional Modifier None Typical Low $5.25 Median $8.91 Typical High $17.38 | Professional | None | $5.25 | $8.91 | $17.38 |
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 $4.90 Median $4.90 Typical High $5.01 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.00 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.00 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas than in Maryland. 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· 12th of 51
$17.38
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.