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 $13.49 Median $16.60 Typical High $48.98 | Facility | None | $13.49 | $16.60 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $13.80 | Professional | None | $13.49 | $13.49 | $13.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $63.10 Typical High $123.03 | Facility | None | $34.67 | $63.10 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $17.38 Median $32.36 Typical High $42.66 | Professional | None | $17.38 | $32.36 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $43.65 Typical High $104.71 | Facility | None | $32.36 | $43.65 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $8.71 Median $11.22 Typical High $21.88 | Professional | None | $8.71 | $11.22 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $18.20 Typical High $125.89 | Facility | None | $12.88 | $18.20 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $56.23 | Professional | None | $19.05 | $32.36 | $56.23 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Facility | None | $15.49 | $15.49 | $20.42 |
United Setting Professional Modifier None Typical Low $7.24 Median $11.75 Typical High $23.99 | Professional | None | $7.24 | $11.75 | $23.99 |
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 $6.76 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.75 |
Where South Carolina sits
The same service costs 3.0 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· 2nd of 51
$32.36
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.