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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | None | $9.55 | $9.55 | $9.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $46.77 Typical High $83.18 | Facility | None | $28.18 | $46.77 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.30 Median $18.20 Typical High $30.20 | Professional | None | $12.30 | $18.20 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $75.86 | Facility | None | $22.91 | $30.90 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $15.49 | Professional | None | $6.31 | $7.94 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $9.12 Median $12.30 Typical High $19.95 | Facility | None | $9.12 | $12.30 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $22.91 | Professional | None | $14.13 | $21.88 | $22.91 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Facility | None | $10.96 | $10.96 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.13 Typical High $16.60 | Professional | None | $5.13 | $8.13 | $16.60 |
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 $4.79 Median $4.79 Typical High $4.90 | Professional | 52 · Reduced service | $4.79 | $4.79 | $4.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $1.95 | Professional | 53 · Discontinued | $1.91 | $1.91 | $1.95 |
Where South Carolina sits
The same service costs 3.2 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· 7th of 51
$18.20
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.