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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | None | $10.96 | $10.96 | $11.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $41.69 | Facility | None | $14.13 | $23.44 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.91 Median $14.13 Typical High $15.14 | Professional | None | $8.91 | $14.13 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $85.11 | Facility | None | $26.92 | $33.11 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $3.72 Median $6.46 Typical High $16.22 | Professional | None | $3.72 | $6.46 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $10.96 Typical High $18.62 | Facility | None | $5.75 | $10.96 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $10.96 | Professional | None | $7.08 | $10.96 | $10.96 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Facility | None | $12.59 | $12.59 | $16.98 |
United Setting Professional Modifier None Typical Low $4.37 Median $7.08 Typical High $12.88 | Professional | None | $4.37 | $7.08 | $12.88 |
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 $5.50 Median $5.50 Typical High $5.62 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.24 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska 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· 18th of 51
$14.13
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.