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 $21.38 Median $26.92 Typical High $79.43 | Facility | None | $21.38 | $26.92 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | None | $21.38 | $21.38 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $39.81 Median $75.86 Typical High $186.21 | Facility | None | $39.81 | $75.86 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $27.54 Median $28.18 Typical High $51.29 | Professional | None | $27.54 | $28.18 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $169.82 | Facility | None | $51.29 | $79.43 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $33.11 | Professional | None | $12.59 | $13.18 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $144.54 | Facility | None | $19.05 | $28.18 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $37.15 Typical High $40.74 | Professional | None | $19.95 | $37.15 | $40.74 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $33.11 | Facility | None | $24.55 | $24.55 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.60 Typical High $33.11 | Professional | None | $11.48 | $16.60 | $33.11 |
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 $10.72 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.37 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Alabama. 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
$36.31
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.