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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | None | $47.86 | $47.86 | $48.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $51.29 | Facility | None | $16.98 | $26.92 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $61.66 | Professional | None | $7.94 | $8.32 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $117.49 Median $154.88 Typical High $380.19 | Facility | None | $117.49 | $154.88 | $380.19 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $28.18 Typical High $70.79 | Professional | None | $21.38 | $28.18 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $47.86 Typical High $81.28 | Facility | None | $8.32 | $47.86 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $48.98 | Professional | None | $10.96 | $20.89 | $48.98 |
United Setting Facility Modifier None Typical Low $54.95 Median $54.95 Typical High $74.13 | Facility | None | $54.95 | $54.95 | $74.13 |
United Setting Professional Modifier None Typical Low $4.37 Median $25.70 Typical High $56.23 | Professional | None | $4.37 | $25.70 | $56.23 |
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 $23.99 Median $23.99 Typical High $24.55 | Professional | 52 · Reduced service | $23.99 | $23.99 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.77 |
Where South Carolina sits
The same service costs 6.5 times more in Alaska than in South Carolina. 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· 51st of 51
$21.38
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.