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 $3.72 Median $3.72 Typical High $3.72 | Facility | None | $3.72 | $3.72 | $3.72 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $3.80 | Professional | None | $3.72 | $3.72 | $3.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $6.31 Median $9.55 Typical High $16.98 | Facility | None | $6.31 | $9.55 | $16.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $6.31 | Professional | None | $4.79 | $6.03 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $14.13 Typical High $30.20 | Facility | None | $8.91 | $14.13 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $5.89 | Professional | None | $2.45 | $3.09 | $5.89 |
Medcost Setting Facility Modifier None Typical Low $3.31 Median $4.07 Typical High $6.31 | Facility | None | $3.31 | $4.07 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $1.00 Median $5.01 Typical High $8.51 | Professional | None | $1.00 | $5.01 | $8.51 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $5.75 | Facility | None | $4.27 | $4.27 | $5.75 |
United Setting Professional Modifier None Typical Low $1.78 Median $2.63 Typical High $5.75 | Professional | None | $1.78 | $2.63 | $5.75 |
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 $1.86 Median $1.86 Typical High $1.91 | Professional | 52 · Reduced service | $1.86 | $1.86 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.76 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.76 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in Nebraska. 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
$6.03
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.