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 $4.27 Median $4.27 Typical High $8.71 | Facility | None | $4.27 | $4.27 | $8.71 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.90 | Professional | None | $4.27 | $4.27 | $4.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16.22 Median $32.36 Typical High $64.57 | Facility | None | $16.22 | $32.36 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.50 Median $6.03 Typical High $14.13 | Professional | None | $5.50 | $6.03 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $16.60 Typical High $33.88 | Facility | None | $10.47 | $16.60 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.80 Typical High $7.08 | Professional | None | $2.82 | $3.80 | $7.08 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $5.50 Typical High $9.12 | Facility | None | $4.17 | $5.50 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $19.50 | Professional | None | $6.03 | $10.00 | $19.50 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $6.61 | Facility | None | $4.90 | $4.90 | $6.61 |
United Setting Professional Modifier None Typical Low $2.75 Median $4.37 Typical High $33.11 | Professional | None | $2.75 | $4.37 | $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 $2.14 Median $2.14 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.87 |
Where South Carolina sits
The same service costs 2.9 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· 12th of 51
$7.94
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.