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 $11.22 Median $11.22 Typical High $22.91 | Facility | None | $11.22 | $11.22 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $12.59 | Professional | None | $11.22 | $11.22 | $12.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $57.54 Typical High $114.82 | Facility | None | $34.67 | $57.54 | $114.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.45 Median $15.14 Typical High $32.36 | Professional | None | $14.45 | $15.14 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $89.13 | Facility | None | $27.54 | $36.31 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.51 Typical High $17.78 | Professional | None | $6.76 | $8.51 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $10.72 Median $14.45 Typical High $21.38 | Facility | None | $10.72 | $14.45 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $30.20 | Professional | None | $14.13 | $23.99 | $30.20 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $17.38 | Facility | None | $12.88 | $12.88 | $17.38 |
United Setting Professional Modifier None Typical Low $6.03 Median $9.12 Typical High $17.78 | Professional | None | $6.03 | $9.12 | $17.78 |
3 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 $5.62 Median $5.62 Typical High $5.75 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.29 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | 90 · Outside lab | $14.45 | $14.45 | $14.45 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 10th of 51
$18.62
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.