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 $19.05 Median $19.05 Typical High $30.20 | Facility | None | $19.05 | $19.05 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $21.88 | Professional | None | $19.05 | $19.05 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $35.48 Median $104.71 Typical High $288.40 | Facility | None | $35.48 | $104.71 | $288.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.96 Median $23.99 Typical High $61.66 | Professional | None | $10.96 | $23.99 | $61.66 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $151.36 | Facility | None | $45.71 | $61.66 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $15.85 Typical High $30.90 | Professional | None | $12.30 | $15.85 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $23.99 Typical High $39.81 | Facility | None | $18.20 | $23.99 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $40.74 Typical High $43.65 | Professional | None | $26.92 | $40.74 | $43.65 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
United Setting Professional Modifier None Typical Low $10.23 Median $16.60 Typical High $33.88 | Professional | None | $10.23 | $16.60 | $33.88 |
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 $9.33 Median $9.33 Typical High $9.77 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.89 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska 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· 18th of 51
$26.92
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.