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 $21.88 Median $28.18 Typical High $81.28 | Facility | None | $21.88 | $28.18 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $33.11 | Professional | None | $21.88 | $21.88 | $33.11 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $30.90 Typical High $51.29 | Professional | None | $14.13 | $30.90 | $51.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $120.23 Typical High $229.09 | Facility | None | $67.61 | $120.23 | $229.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $70.79 | Professional | None | $28.18 | $28.18 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $52.48 Median $77.62 Typical High $169.82 | Facility | None | $52.48 | $77.62 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $18.20 Typical High $35.48 | Professional | None | $14.13 | $18.20 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $29.51 Typical High $204.17 | Facility | None | $20.89 | $29.51 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $53.70 | Professional | None | $25.70 | $51.29 | $53.70 |
United Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $33.88 | Facility | None | $25.12 | $25.12 | $33.88 |
United Setting Professional Modifier None Typical Low $11.75 Median $19.50 Typical High $38.90 | Professional | None | $11.75 | $19.50 | $38.90 |
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 $10.96 Median $10.96 Typical High $11.22 | Professional | 52 · Reduced service | $10.96 | $10.96 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.37 Median $4.37 Typical High $4.47 | Professional | 53 · Discontinued | $4.37 | $4.37 | $4.47 |
Where South Carolina sits
The same service costs 7.8 times more in Vermont than in Alabama. 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· 12th of 51
$37.15
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.