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 $12.59 Median $12.59 Typical High $26.30 | Facility | None | $12.59 | $12.59 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $15.49 | Professional | None | $12.59 | $12.59 | $15.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $63.10 Typical High $114.82 | Facility | None | $37.15 | $63.10 | $114.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $30.20 Typical High $40.74 | Professional | None | $16.22 | $30.20 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $100.00 | Facility | None | $30.90 | $48.98 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.72 Typical High $20.42 | Professional | None | $8.13 | $10.72 | $20.42 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $16.98 Typical High $117.49 | Facility | None | $12.30 | $16.98 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $32.36 | Professional | None | $18.20 | $30.20 | $32.36 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $19.50 | Facility | None | $14.79 | $14.79 | $19.50 |
United Setting Professional Modifier None Typical Low $6.76 Median $11.48 Typical High $22.91 | Professional | None | $6.76 | $11.48 | $22.91 |
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 $6.31 Median $6.31 Typical High $6.46 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.57 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.57 |
Where South Carolina sits
The same service costs 3.6 times more in Alaska than in Maryland. 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· 3rd of 51
$30.20
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.