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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $128.82 | Facility | None | $47.86 | $70.79 | $128.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.88 Median $43.65 Typical High $44.67 | Professional | None | $33.88 | $43.65 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $100.00 Typical High $269.15 | Facility | None | $83.18 | $100.00 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $19.95 Typical High $50.12 | Professional | None | $11.22 | $19.95 | $50.12 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $34.67 Typical High $58.88 | Facility | None | $21.88 | $34.67 | $58.88 |
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 $39.81 Median $39.81 Typical High $52.48 | Facility | None | $39.81 | $39.81 | $52.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $21.88 Typical High $43.65 | Professional | None | $12.59 | $21.88 | $43.65 |
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 $16.98 Median $16.98 Typical High $17.78 | Professional | 52 · Reduced service | $16.98 | $16.98 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.08 |
Where South Carolina sits
The same service costs 5.6 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· 13th of 51
$43.65
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.