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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.60 | Professional | None | $16.22 | $16.22 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $112.20 Typical High $239.88 | Facility | None | $75.86 | $112.20 | $239.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.89 Median $30.20 Typical High $46.77 | Professional | None | $20.89 | $30.20 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $128.82 | Facility | None | $39.81 | $53.70 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $24.55 | Professional | None | $9.77 | $12.30 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $20.89 Typical High $30.90 | Facility | None | $15.85 | $20.89 | $30.90 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $29.51 Typical High $34.67 | Professional | None | $20.89 | $29.51 | $34.67 |
United Setting Facility Modifier None Typical Low $19.05 Median $19.05 Typical High $25.12 | Facility | None | $19.05 | $19.05 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $26.30 | Professional | None | $8.71 | $12.88 | $26.30 |
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 $8.13 Median $8.13 Typical High $8.32 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.39 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.39 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$30.90
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.