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 $3.47 Median $14.79 Typical High $14.79 | Facility | None | $3.47 | $14.79 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $15.14 | Professional | None | $14.79 | $14.79 | $15.14 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $9.33 Median $14.79 Typical High $41.69 | Facility | None | $9.33 | $14.79 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $18.62 | Professional | None | $6.03 | $10.47 | $18.62 |
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 $8.32 Median $8.71 Typical High $21.38 | Professional | None | $8.32 | $8.71 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $3.31 Median $14.79 Typical High $25.12 | Facility | None | $3.31 | $14.79 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $8.32 Typical High $19.05 | Professional | None | $5.01 | $8.32 | $19.05 |
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 $1.74 Median $9.33 Typical High $18.62 | Professional | None | $1.74 | $9.33 | $18.62 |
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 $7.24 Median $7.24 Typical High $7.59 | Professional | 52 · Reduced service | $7.24 | $7.24 | $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 3.6 times more in Alaska than in Kentucky. 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· 41st of 51
$14.45
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.