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 $16.98 | Professional | None | $16.60 | $16.60 | $16.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $125.89 | Facility | None | $37.15 | $66.07 | $125.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.89 Median $30.90 Typical High $44.67 | Professional | None | $20.89 | $30.90 | $44.67 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $128.82 | Facility | None | $39.81 | $53.70 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $13.80 Typical High $26.30 | Professional | None | $10.72 | $13.80 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $15.14 Median $20.89 Typical High $29.51 | Facility | None | $15.14 | $20.89 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $46.77 | Professional | None | $22.91 | $33.11 | $46.77 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $25.12 | Facility | None | $19.05 | $19.05 | $25.12 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.59 Typical High $25.12 | Professional | None | $8.91 | $12.59 | $25.12 |
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 $8.13 Median $8.13 Typical High $8.51 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.51 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.31 Median $3.31 Typical High $3.39 | Professional | 53 · Discontinued | $3.31 | $3.31 | $3.39 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska 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· 6th of 51
$30.90
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.