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 $9.12 Median $9.12 Typical High $9.12 | Facility | None | $9.12 | $9.12 | $9.12 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $9.12 Typical High $9.33 | Professional | None | $9.12 | $9.12 | $9.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $58.88 | Facility | None | $20.42 | $33.11 | $58.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.75 Median $14.13 Typical High $20.89 | Professional | None | $11.75 | $14.13 | $20.89 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $29.51 Typical High $72.44 | Facility | None | $22.39 | $29.51 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $5.50 Typical High $13.18 | Professional | None | $5.25 | $5.50 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $11.75 Typical High $15.49 | Facility | None | $8.13 | $11.75 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $15.85 | Professional | None | $8.91 | $13.18 | $15.85 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $14.13 | Facility | None | $10.47 | $10.47 | $14.13 |
United Setting Professional Modifier None Typical Low $4.90 Median $7.08 Typical High $14.13 | Professional | None | $4.90 | $7.08 | $14.13 |
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 $4.57 Median $4.57 Typical High $4.68 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.86 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.86 |
Where South Carolina sits
The same service costs 3.4 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· 11th of 51
$14.13
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.