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 $5.75 Median $5.75 Typical High $5.75 | Facility | None | $5.75 | $5.75 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | None | $5.75 | $5.75 | $5.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.59 Median $20.42 Typical High $37.15 | Facility | None | $12.59 | $20.42 | $37.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $7.24 Typical High $8.91 | Professional | None | $3.98 | $7.24 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $18.62 Typical High $45.71 | Facility | None | $13.80 | $18.62 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $4.79 Typical High $9.33 | Professional | None | $3.80 | $4.79 | $9.33 |
Medcost Setting Facility Modifier None Typical Low $4.79 Median $6.31 Typical High $9.77 | Facility | None | $4.79 | $6.31 | $9.77 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $8.71 Typical High $12.30 | Professional | None | $7.08 | $8.71 | $12.30 |
United Setting Facility Modifier None Typical Low $6.61 Median $6.61 Typical High $8.71 | Facility | None | $6.61 | $6.61 | $8.71 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $8.71 | Professional | None | $2.51 | $4.07 | $8.71 |
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 $2.82 Median $2.82 Typical High $2.95 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.17 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.17 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Indiana. 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
$7.59
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.