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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $14.45 | Professional | None | $12.88 | $12.88 | $14.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $57.54 Typical High $104.71 | Facility | None | $33.88 | $57.54 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $38.02 | Professional | None | $16.60 | $20.89 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $102.33 | Facility | None | $30.90 | $41.69 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $8.32 Median $10.72 Typical High $20.89 | Professional | None | $8.32 | $10.72 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $24.55 | Facility | None | $12.30 | $16.60 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $25.70 Typical High $28.18 | Professional | None | $18.20 | $25.70 | $28.18 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $19.95 | Facility | None | $14.79 | $14.79 | $19.95 |
United Setting Professional Modifier None Typical Low $6.92 Median $10.47 Typical High $20.89 | Professional | None | $6.92 | $10.47 | $20.89 |
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 $6.46 Median $6.46 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.63 |
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· 11th of 51
$21.88
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.