How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $21.88 Typical High $21.88 | Facility | None | $21.88 | $21.88 | $21.88 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $22.39 | Professional | None | $21.88 | $21.88 | $22.39 |
BCBS South Carolina Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
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 $70.79 Typical High $169.82 | Facility | None | $52.48 | $70.79 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $31.62 | Professional | None | $12.30 | $13.49 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $37.15 | Facility | None | $19.50 | $26.30 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $33.88 | Professional | None | $28.18 | $28.18 | $33.88 |
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 $16.60 Typical High $33.88 | Professional | None | $11.75 | $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 $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 3.8 times more in Alaska than in Nebraska. 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· 22nd of 51
$28.18
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.