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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $8.51 | Professional | None | $8.32 | $8.32 | $8.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.91 Median $38.02 Typical High $72.44 | Facility | None | $22.91 | $38.02 | $72.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $25.70 | Professional | None | $10.72 | $15.14 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $26.92 Typical High $66.07 | Facility | None | $20.42 | $26.92 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.76 Typical High $13.18 | Professional | None | $5.25 | $6.76 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $10.72 Typical High $16.98 | Facility | None | $8.13 | $10.72 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $19.05 Typical High $23.99 | Professional | None | $10.96 | $19.05 | $23.99 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $12.88 | Facility | None | $9.55 | $9.55 | $12.88 |
United Setting Professional Modifier None Typical Low $4.47 Median $7.08 Typical High $14.45 | Professional | None | $4.47 | $7.08 | $14.45 |
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 $4.17 Median $4.17 Typical High $4.27 | Professional | 52 · Reduced service | $4.17 | $4.17 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.74 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.74 |
Where South Carolina sits
The same service costs 3.9 times more in Kansas 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· 9th of 51
$15.14
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.