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 $17.38 Median $17.38 Typical High $17.38 | Facility | None | $17.38 | $17.38 | $17.38 |
Aetna Setting Professional Modifier None Typical Low $17.38 Median $17.38 Typical High $17.78 | Professional | None | $17.38 | $17.38 | $17.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $70.79 Median $112.20 Typical High $223.87 | Facility | None | $70.79 | $112.20 | $223.87 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.39 Median $32.36 Typical High $48.98 | Professional | None | $22.39 | $32.36 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $56.23 Typical High $138.04 | Facility | None | $42.66 | $56.23 | $138.04 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.59 Typical High $25.70 | Professional | None | $10.47 | $12.59 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $23.44 Typical High $141.25 | Facility | None | $16.22 | $23.44 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $36.31 Typical High $69.18 | Professional | None | $20.89 | $36.31 | $69.18 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.92 | Facility | None | $19.95 | $19.95 | $26.92 |
United Setting Professional Modifier None Typical Low $9.33 Median $13.49 Typical High $26.92 | Professional | None | $9.33 | $13.49 | $26.92 |
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 $8.71 Median $8.71 Typical High $8.91 | Professional | 52 · Reduced service | $8.71 | $8.71 | $8.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.63 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.63 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New York. 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· 7th of 51
$32.36
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.