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 $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.70 | Professional | None | $25.12 | $25.12 | $25.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $144.54 Typical High $309.03 | Facility | None | $75.86 | $144.54 | $309.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $64.57 | Professional | None | $32.36 | $33.88 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $81.28 Typical High $199.53 | Facility | None | $61.66 | $81.28 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $40.74 | Professional | None | $16.60 | $21.38 | $40.74 |
Medcost Setting Facility Modifier None Typical Low $22.39 Median $32.36 Typical High $42.66 | Facility | None | $22.39 | $32.36 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $46.77 Typical High $83.18 | Professional | None | $36.31 | $46.77 | $83.18 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $38.90 | Facility | None | $28.84 | $28.84 | $38.90 |
United Setting Professional Modifier None Typical Low $13.49 Median $19.50 Typical High $38.90 | Professional | None | $13.49 | $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 $12.59 Median $12.59 Typical High $12.88 | Professional | 52 · Reduced service | $12.59 | $12.59 | $12.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.01 Median $5.01 Typical High $5.13 | Professional | 53 · Discontinued | $5.01 | $5.01 | $5.13 |
Where South Carolina sits
The same service costs 4.1 times more in Kansas 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
$41.69
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.