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 $50.12 Median $50.12 Typical High $125.89 | Facility | None | $50.12 | $50.12 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $57.54 | Professional | None | $50.12 | $50.12 | $57.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $346.74 Typical High $602.56 | Facility | None | $194.98 | $346.74 | $602.56 |
BCBS South Carolina Setting Professional Modifier None Typical Low $64.57 Median $151.36 Typical High $223.87 | Professional | None | $64.57 | $151.36 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $190.55 Typical High $398.11 | Facility | None | $123.03 | $190.55 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $41.69 Typical High $77.62 | Professional | None | $32.36 | $41.69 | $77.62 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $67.61 Typical High $426.58 | Facility | None | $47.86 | $67.61 | $426.58 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $102.33 Typical High $109.65 | Professional | None | $70.79 | $102.33 | $109.65 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $41.69 Typical High $114.82 | Professional | None | $26.92 | $41.69 | $114.82 |
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 $25.12 Median $25.12 Typical High $25.70 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.23 |
Where South Carolina sits
The same service costs 3.8 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· 3rd of 51
$151
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.