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 $13.80 Typical High $22.39 | Facility | None | $10.96 | $13.80 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $16.98 | Professional | None | $10.96 | $10.96 | $16.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $57.54 Typical High $104.71 | Facility | None | $38.02 | $57.54 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $32.36 Typical High $36.31 | Professional | None | $14.13 | $32.36 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $35.48 Typical High $87.10 | Facility | None | $26.92 | $35.48 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $9.33 Typical High $18.20 | Professional | None | $7.24 | $9.33 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $10.47 Median $14.79 Typical High $102.33 | Facility | None | $10.47 | $14.79 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $23.99 Typical High $25.70 | Professional | None | $15.14 | $23.99 | $25.70 |
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 $5.89 Median $9.55 Typical High $19.95 | Professional | None | $5.89 | $9.55 | $19.95 |
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 7.4 times more in Vermont than in Nebraska. 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· 3rd 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.