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 $17.38 Median $17.38 Typical High $35.48 | Facility | None | $17.38 | $17.38 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $19.95 | Professional | None | $17.38 | $17.38 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $64.57 Typical High $446.68 | Facility | None | $33.88 | $64.57 | $446.68 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $22.39 Typical High $44.67 | Professional | None | $19.95 | $22.39 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $138.04 | Facility | None | $41.69 | $56.23 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $11.75 Typical High $26.92 | Professional | None | $10.23 | $11.75 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $131.83 | Facility | None | $15.49 | $23.44 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $30.90 Typical High $33.11 | Professional | None | $19.95 | $30.90 | $33.11 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.30 | Facility | None | $19.95 | $19.95 | $26.30 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.18 Typical High $26.30 | Professional | None | $9.33 | $13.18 | $26.30 |
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 $8.71 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.55 |
Where South Carolina sits
The same service costs 5.0 times more in Alaska than in Georgia. 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· 11th of 51
$27.54
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.