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 $13.80 Median $17.38 Typical High $36.31 | Facility | None | $13.80 | $17.38 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $15.85 | Professional | None | $13.80 | $13.80 | $15.85 |
BCBS South Carolina Setting Facility Modifier None Typical Low $45.71 Median $83.18 Typical High $162.18 | Facility | None | $45.71 | $83.18 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $17.78 Median $19.05 Typical High $43.65 | Professional | None | $17.78 | $19.05 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $44.67 Typical High $109.65 | Facility | None | $33.11 | $44.67 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $21.88 | Professional | None | $8.71 | $11.22 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $18.62 Typical High $125.89 | Facility | None | $13.18 | $18.62 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $29.51 Typical High $32.36 | Professional | None | $16.98 | $29.51 | $32.36 |
United Setting Facility Modifier None Typical Low $15.85 Median $15.85 Typical High $21.38 | Facility | None | $15.85 | $15.85 | $21.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $11.75 Typical High $23.99 | Professional | None | $7.41 | $11.75 | $23.99 |
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 $6.92 Median $6.92 Typical High $7.08 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.82 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.82 |
Where South Carolina sits
The same service costs 3.1 times more in Kansas 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· 9th of 51
$24.55
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.