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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | None | $7.59 | $7.59 | $7.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $34.67 Typical High $100.00 | Facility | None | $23.44 | $34.67 | $100.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.77 Median $14.45 Typical High $21.88 | Professional | None | $9.77 | $14.45 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $60.26 | Facility | None | $18.62 | $24.55 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $6.31 Typical High $11.22 | Professional | None | $4.47 | $6.31 | $11.22 |
Medcost Setting Facility Modifier None Typical Low $6.92 Median $9.77 Typical High $14.45 | Facility | None | $6.92 | $9.77 | $14.45 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $14.79 Typical High $15.85 | Professional | None | $10.00 | $14.79 | $15.85 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $11.75 | Facility | None | $8.71 | $8.71 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $12.30 | Professional | None | $4.07 | $5.89 | $12.30 |
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 $3.80 Median $3.80 Typical High $3.89 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.55 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.55 |
Where South Carolina sits
The same service costs 4.1 times more in Kansas 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· 3rd of 51
$17.38
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.