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 $7.24 Median $9.12 Typical High $14.79 | Facility | None | $7.24 | $9.12 | $14.79 |
Aetna Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $10.23 | Professional | None | $7.24 | $7.24 | $10.23 |
Ambetter Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $14.45 | Professional | None | $10.23 | $10.23 | $14.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $29.51 Median $51.29 Typical High $123.03 | Facility | None | $29.51 | $51.29 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.33 Median $19.05 Typical High $22.91 | Professional | None | $9.33 | $19.05 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $27.54 Typical High $57.54 | Facility | None | $17.78 | $27.54 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $12.02 | Professional | None | $4.79 | $6.03 | $12.02 |
Medcost Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $67.61 | Facility | None | $6.92 | $9.77 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $32.36 | Professional | None | $10.00 | $16.98 | $32.36 |
United Setting Facility Modifier None Typical Low $8.32 Median $8.32 Typical High $11.22 | Facility | None | $8.32 | $8.32 | $11.22 |
United Setting Professional Modifier None Typical Low $3.89 Median $6.61 Typical High $12.88 | Professional | None | $3.89 | $6.61 | $12.88 |
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 $3.63 Median $3.63 Typical High $3.72 | Professional | 52 · Reduced service | $3.63 | $3.63 | $3.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.45 Median $1.45 Typical High $1.48 | Professional | 53 · Discontinued | $1.45 | $1.45 | $1.48 |
Where South Carolina sits
The same service costs 12.9 times more in Vermont 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· 5th of 51
$19.50
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.