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 $3.89 Median $3.89 Typical High $3.89 | Facility | None | $3.89 | $3.89 | $3.89 |
Aetna Setting Professional Modifier None Typical Low $3.80 Median $3.89 Typical High $6.31 | Professional | None | $3.80 | $3.89 | $6.31 |
Ambetter Setting Professional Modifier None Typical Low $4.07 Median $5.01 Typical High $9.12 | Professional | None | $4.07 | $5.01 | $9.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $9.33 Median $19.50 Typical High $47.86 | Facility | None | $9.33 | $19.50 | $47.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $5.25 Typical High $8.91 | Professional | None | $5.01 | $5.25 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $12.88 Typical High $31.62 | Facility | None | $9.55 | $12.88 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.00 Median $2.51 Typical High $5.75 | Professional | None | $2.00 | $2.51 | $5.75 |
Medcost Setting Facility Modifier None Typical Low $3.02 Median $4.79 Typical High $23.99 | Facility | None | $3.02 | $4.79 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $11.22 | Professional | None | $3.02 | $6.03 | $11.22 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $6.03 | Facility | None | $4.57 | $4.57 | $6.03 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.80 Typical High $5.01 | Professional | None | $2.75 | $3.80 | $5.01 |
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 $1.95 Median $1.95 Typical High $2.04 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.81 |
Where South Carolina sits
The same service costs 3.0 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· 8th of 51
$6.03
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.