How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $27.54 | Professional | None | $26.92 | $26.92 | $27.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $37.15 | Professional | None | $33.88 | $33.88 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $213.80 | Facility | None | $64.57 | $87.10 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $16.60 Typical High $38.90 | Professional | None | $15.14 | $16.60 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $45.71 | Facility | None | $23.99 | $32.36 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $40.74 | Professional | None | $34.67 | $34.67 | $40.74 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Facility | None | $30.90 | $30.90 | $40.74 |
United Setting Professional Modifier None Typical Low $14.45 Median $20.42 Typical High $40.74 | Professional | None | $14.45 | $20.42 | $40.74 |
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 $13.49 Median $13.49 Typical High $13.80 | Professional | 52 · Reduced service | $13.49 | $13.49 | $13.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | 53 · Discontinued | $5.37 | $5.37 | $5.50 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in Oklahoma. 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· 20th of 51
$33.88
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.