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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | None | $14.13 | $14.13 | $14.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $72.44 Median $109.65 Typical High $234.42 | Facility | None | $72.44 | $109.65 | $234.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $52.48 | Professional | None | $18.20 | $28.84 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $112.20 | Facility | None | $33.88 | $45.71 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $13.49 Typical High $25.70 | Professional | None | $9.12 | $13.49 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $19.05 Typical High $34.67 | Facility | None | $13.49 | $19.05 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $35.48 Typical High $38.02 | Professional | None | $15.14 | $35.48 | $38.02 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $21.88 | Facility | None | $16.22 | $16.22 | $21.88 |
United Setting Professional Modifier None Typical Low $7.59 Median $13.49 Typical High $28.84 | Professional | None | $7.59 | $13.49 | $28.84 |
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 $7.08 Median $7.08 Typical High $7.24 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.88 |
Where South Carolina sits
The same service costs 4.7 times more in Kansas than in Texas. 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
$32.36
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.