How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $35.48 | Professional | None | $34.67 | $34.67 | $35.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $79.43 Median $234.42 Typical High $245.47 | Facility | None | $79.43 | $234.42 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $47.86 | Professional | None | $44.67 | $44.67 | $47.86 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $112.20 Typical High $275.42 | Facility | None | $83.18 | $112.20 | $275.42 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $20.42 Typical High $47.86 | Professional | None | $7.94 | $20.42 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $34.67 Typical High $58.88 | Facility | None | $21.38 | $34.67 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $53.70 | Professional | None | $17.78 | $17.78 | $53.70 |
United Setting Facility Modifier None Typical Low $39.81 Median $39.81 Typical High $53.70 | Facility | None | $39.81 | $39.81 | $53.70 |
United Setting Professional Modifier None Typical Low $9.77 Median $18.62 Typical High $40.74 | Professional | None | $9.77 | $18.62 | $40.74 |
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 $17.38 Median $17.38 Typical High $17.78 | Professional | 52 · Reduced service | $17.38 | $17.38 | $17.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | 53 · Discontinued | $6.92 | $6.92 | $7.08 |
Where South Carolina sits
The same service costs 5.4 times more in Alaska than in Georgia. 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· 14th of 51
$44.67
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.