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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | None | $7.59 | $7.59 | $7.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.70 Median $50.12 Typical High $102.33 | Facility | None | $25.70 | $50.12 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $9.77 Typical High $22.91 | Professional | None | $5.01 | $9.77 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $60.26 | Facility | None | $18.62 | $25.12 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $11.75 | Professional | None | $4.57 | $5.89 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $7.41 Median $9.77 Typical High $15.14 | Facility | None | $7.41 | $9.77 | $15.14 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $19.05 | Professional | None | $10.00 | $16.98 | $19.05 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $11.75 | Facility | None | $8.91 | $8.91 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $6.46 Typical High $12.88 | Professional | None | $4.07 | $6.46 | $12.88 |
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 $3.80 Median $3.80 Typical High $3.89 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.58 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.58 |
Where South Carolina sits
The same service costs 4.4 times more in Kansas 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· 22nd of 51
$10.23
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.