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 $11.48 Median $14.13 Typical High $23.44 | Facility | None | $11.48 | $14.13 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $17.38 | Professional | None | $11.48 | $11.48 | $17.38 |
Ambetter Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $22.91 | Professional | None | $14.45 | $14.45 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $109.65 | Facility | None | $33.11 | $57.54 | $109.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.45 Median $37.15 Typical High $39.81 | Professional | None | $14.45 | $37.15 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $43.65 Typical High $89.13 | Facility | None | $27.54 | $43.65 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $9.55 Typical High $19.05 | Professional | None | $7.41 | $9.55 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $15.49 Typical High $107.15 | Facility | None | $10.96 | $15.49 | $107.15 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $24.55 Typical High $26.92 | Professional | None | $15.85 | $24.55 | $26.92 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $17.38 | Facility | None | $13.18 | $13.18 | $17.38 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $20.42 | Professional | None | $6.17 | $10.00 | $20.42 |
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 $5.75 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Where South Carolina sits
The same service costs 8.1 times more in Vermont 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· 3rd of 51
$37.15
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.