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 $8.71 Median $8.71 Typical High $8.71 | Facility | None | $8.71 | $8.71 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $8.91 | Professional | None | $8.71 | $8.71 | $8.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.39 Median $40.74 Typical High $75.86 | Facility | None | $22.39 | $40.74 | $75.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $11.22 Typical High $28.18 | Professional | None | $7.94 | $11.22 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $67.61 | Facility | None | $20.89 | $28.18 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $5.62 Median $7.24 Typical High $14.13 | Professional | None | $5.62 | $7.24 | $14.13 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $11.22 Typical High $18.20 | Facility | None | $8.32 | $11.22 | $18.20 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $20.89 Typical High $25.12 | Professional | None | $12.02 | $20.89 | $25.12 |
United Setting Facility Modifier None Typical Low $10.00 Median $10.00 Typical High $13.49 | Facility | None | $10.00 | $10.00 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $7.76 Typical High $15.49 | Professional | None | $4.68 | $7.76 | $15.49 |
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 $4.37 Median $4.37 Typical High $4.47 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.74 Median $1.74 Typical High $1.78 | Professional | 53 · Discontinued | $1.74 | $1.74 | $1.78 |
Where South Carolina sits
The same service costs 3.5 times more in Kansas than in Kentucky. 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· 16th of 51
$13.49
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.