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 $4.68 Median $4.68 Typical High $4.68 | Facility | None | $4.68 | $4.68 | $4.68 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.79 | Professional | None | $4.68 | $4.68 | $4.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.18 Median $20.89 Typical High $41.69 | Facility | None | $13.18 | $20.89 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $12.02 | Professional | None | $5.01 | $6.03 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $18.20 Typical High $38.02 | Facility | None | $11.48 | $18.20 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $7.76 | Professional | None | $3.09 | $3.89 | $7.76 |
Medcost Setting Facility Modifier None Typical Low $4.27 Median $6.03 Typical High $7.94 | Facility | None | $4.27 | $6.03 | $7.94 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $16.60 | Professional | None | $7.08 | $8.91 | $16.60 |
United Setting Facility Modifier None Typical Low $5.50 Median $5.50 Typical High $7.24 | Facility | None | $5.50 | $5.50 | $7.24 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.63 Typical High $7.41 | Professional | None | $2.51 | $3.63 | $7.41 |
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 $2.34 Median $2.34 Typical High $2.40 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.98 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.98 |
Where South Carolina sits
The same service costs 4.6 times more in Kansas 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· 11th of 51
$7.41
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.