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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | None | $3.09 | $3.09 | $3.16 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $30.90 Typical High $69.18 | Facility | None | $20.89 | $30.90 | $69.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $8.91 | Professional | None | $3.98 | $7.94 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $7.59 Median $10.00 Typical High $23.99 | Facility | None | $7.59 | $10.00 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $1.86 Median $2.34 Typical High $4.68 | Professional | None | $1.86 | $2.34 | $4.68 |
Medcost Setting Facility Modifier None Typical Low $3.02 Median $3.98 Typical High $6.03 | Facility | None | $3.02 | $3.98 | $6.03 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $12.02 | Professional | None | $3.98 | $7.08 | $12.02 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.79 | Facility | None | $3.55 | $3.55 | $4.79 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.57 Typical High $5.13 | Professional | None | $1.66 | $2.57 | $5.13 |
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 $1.55 Median $1.55 Typical High $1.58 | Professional | 52 · Reduced service | $1.55 | $1.55 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.65 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.65 |
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· 2nd 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.