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 $16.60 Median $16.60 Typical High $16.60 | Facility | None | $16.60 | $16.60 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $17.38 | Professional | None | $16.60 | $16.60 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $47.86 Median $81.28 Typical High $151.36 | Facility | None | $47.86 | $81.28 | $151.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $53.70 | Professional | None | $21.38 | $30.20 | $53.70 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $131.83 | Facility | None | $40.74 | $54.95 | $131.83 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $26.92 | Professional | None | $10.96 | $14.13 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $21.38 Typical High $35.48 | Facility | None | $16.22 | $21.38 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $33.11 Typical High $39.81 | Professional | None | $23.99 | $33.11 | $39.81 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $25.70 | Facility | None | $19.50 | $19.50 | $25.70 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.45 Typical High $30.20 | Professional | None | $9.12 | $14.45 | $30.20 |
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 $8.32 Median $8.32 Typical High $8.51 | Professional | 52 · Reduced service | $8.32 | $8.32 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.47 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Texas. 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· 7th of 51
$30.20
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.