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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | None | $10.23 | $10.23 | $10.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $20.42 Typical High $38.90 | Facility | None | $10.96 | $20.42 | $38.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $13.18 Typical High $14.13 | Professional | None | $3.98 | $13.18 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $81.28 | Facility | None | $25.12 | $33.11 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $15.14 | Professional | None | $4.79 | $6.03 | $15.14 |
Medcost Setting Facility Modifier None Typical Low $7.41 Median $10.23 Typical High $17.38 | Facility | None | $7.41 | $10.23 | $17.38 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $10.96 Typical High $10.96 | Professional | None | $8.91 | $10.96 | $10.96 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Facility | None | $11.75 | $11.75 | $15.85 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.61 Typical High $13.18 | Professional | None | $3.98 | $6.61 | $13.18 |
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 $5.13 Median $5.13 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.09 |
Where South Carolina sits
The same service costs 4.7 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· 22nd of 51
$13.18
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.