How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $17.78 Median $17.78 Typical High $66.07 | Facility | None | $17.78 | $17.78 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $19.95 | Professional | None | $17.78 | $17.78 | $19.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $42.66 | Professional | None | $22.91 | $30.90 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $58.88 Typical High $141.25 | Facility | None | $43.65 | $58.88 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $19.50 Typical High $27.54 | Professional | None | $14.79 | $19.50 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $20.89 Typical High $30.20 | Facility | None | $16.22 | $20.89 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $27.54 | Professional | None | $18.20 | $18.20 | $27.54 |
United Setting Facility Modifier None Typical Low $20.89 Median $20.89 Typical High $27.54 | Facility | None | $20.89 | $20.89 | $27.54 |
United Setting Professional Modifier None Typical Low $9.55 Median $13.80 Typical High $27.54 | Professional | None | $9.55 | $13.80 | $27.54 |
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 $8.91 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.72 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.72 |
Where South Carolina sits
The same service costs 9.8 times more in Vermont 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· 6th of 51
$30.90
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.