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 $22.39 Median $22.39 Typical High $22.39 | Facility | None | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier None Typical Low $22.39 Median $22.39 Typical High $22.91 | Professional | None | $22.39 | $22.39 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $56.23 Median $97.72 Typical High $186.21 | Facility | None | $56.23 | $97.72 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $66.07 | Professional | None | $28.18 | $36.31 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $72.44 Typical High $173.78 | Facility | None | $53.70 | $72.44 | $173.78 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $17.38 Typical High $33.88 | Professional | None | $13.18 | $17.38 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $43.65 | Facility | None | $21.38 | $28.18 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $47.86 Typical High $56.23 | Professional | None | $28.84 | $47.86 | $56.23 |
United Setting Facility Modifier None Typical Low $25.70 Median $25.70 Typical High $33.88 | Facility | None | $25.70 | $25.70 | $33.88 |
United Setting Professional Modifier None Typical Low $12.02 Median $18.62 Typical High $37.15 | Professional | None | $12.02 | $18.62 | $37.15 |
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 $11.22 Median $11.22 Typical High $11.48 | Professional | 52 · Reduced service | $11.22 | $11.22 | $11.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.47 Median $4.47 Typical High $4.57 | Professional | 53 · Discontinued | $4.47 | $4.47 | $4.57 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas than in Texas. 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
$37.15
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.