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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.31 | Professional | None | $6.17 | $6.17 | $6.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.42 Median $31.62 Typical High $54.95 | Facility | None | $20.42 | $31.62 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $12.88 Typical High $19.95 | Professional | None | $7.94 | $12.88 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $19.95 Typical High $47.86 | Facility | None | $14.79 | $19.95 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $5.13 Typical High $10.00 | Professional | None | $3.98 | $5.13 | $10.00 |
Medcost Setting Facility Modifier None Typical Low $5.89 Median $8.32 Typical High $57.54 | Facility | None | $5.89 | $8.32 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $15.14 Typical High $20.89 | Professional | None | $6.03 | $15.14 | $20.89 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $9.33 | Facility | None | $7.08 | $7.08 | $9.33 |
United Setting Professional Modifier None Typical Low $3.31 Median $5.37 Typical High $10.96 | Professional | None | $3.31 | $5.37 | $10.96 |
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 $3.09 Median $3.09 Typical High $3.16 | Professional | 52 · Reduced service | $3.09 | $3.09 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.26 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.26 |
Where South Carolina sits
The same service costs 4.1 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· 3rd of 51
$16.22
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.