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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | None | $8.32 | $8.32 | $8.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.12 Median $38.02 Typical High $67.61 | Facility | None | $25.12 | $38.02 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.72 Median $15.85 Typical High $23.99 | Professional | None | $10.72 | $15.85 | $23.99 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $66.07 | Facility | None | $20.42 | $27.54 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.92 Typical High $13.49 | Professional | None | $5.37 | $6.92 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $10.72 Typical High $15.85 | Facility | None | $8.13 | $10.72 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $18.20 Typical High $19.05 | Professional | None | $12.02 | $18.20 | $19.05 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Facility | None | $9.77 | $9.77 | $12.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $13.49 | Professional | None | $4.47 | $6.46 | $13.49 |
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 $4.17 Median $4.17 Typical High $4.27 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.74 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.74 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska 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· 7th of 51
$15.85
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.