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 $14.79 Median $18.20 Typical High $38.02 | Facility | None | $14.79 | $18.20 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.62 | Professional | None | $14.79 | $14.79 | $18.62 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $53.70 Median $95.50 Typical High $181.97 | Facility | None | $53.70 | $95.50 | $181.97 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.62 Median $20.89 Typical High $44.67 | Professional | None | $18.62 | $20.89 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $47.86 Typical High $114.82 | Facility | None | $35.48 | $47.86 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $12.30 Typical High $23.99 | Professional | None | $9.55 | $12.30 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $18.62 Typical High $29.51 | Facility | None | $14.13 | $18.62 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $33.11 Typical High $63.10 | Professional | None | $20.89 | $33.11 | $63.10 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $22.39 | Facility | None | $16.98 | $16.98 | $22.39 |
United Setting Professional Modifier None Typical Low $7.94 Median $12.59 Typical High $25.12 | Professional | None | $7.94 | $12.59 | $25.12 |
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 $7.41 Median $7.41 Typical High $7.59 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.02 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.02 |
Where South Carolina sits
The same service costs 10.0 times more in Vermont 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· 10th of 51
$26.30
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.