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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | None | $6.92 | $6.92 | $7.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6.31 Median $10.23 Typical High $20.42 | Facility | None | $6.31 | $10.23 | $20.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.02 Median $7.08 Typical High $8.71 | Professional | None | $3.02 | $7.08 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $22.39 Typical High $53.70 | Facility | None | $16.60 | $22.39 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $4.27 Median $5.37 Typical High $10.47 | Professional | None | $4.27 | $5.37 | $10.47 |
Medcost Setting Facility Modifier None Typical Low $3.98 Median $7.59 Typical High $11.75 | Facility | None | $3.98 | $7.59 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $10.47 | Professional | None | $6.03 | $6.03 | $10.47 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $10.47 | Facility | None | $7.94 | $7.94 | $10.47 |
United Setting Professional Modifier None Typical Low $2.09 Median $4.57 Typical High $10.47 | Professional | None | $2.09 | $4.57 | $10.47 |
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 $3.47 Median $3.47 Typical High $3.55 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.41 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.41 |
Where South Carolina sits
The same service costs 3.5 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· 40th of 51
$7.08
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.