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 $14.45 Median $17.78 Typical High $38.90 | Facility | None | $14.45 | $17.78 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $21.38 | Professional | None | $14.45 | $14.45 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | None | $18.20 | $18.20 | $18.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $204.17 | Facility | None | $57.54 | $97.72 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $30.20 Typical High $45.71 | Professional | None | $18.20 | $30.20 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $46.77 Typical High $114.82 | Facility | None | $34.67 | $46.77 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $23.99 | Professional | None | $9.33 | $12.02 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $18.20 Typical High $30.20 | Facility | None | $13.80 | $18.20 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $31.62 Typical High $33.88 | Professional | None | $19.95 | $31.62 | $33.88 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $21.88 | Facility | None | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.88 Typical High $25.70 | Professional | None | $7.76 | $12.88 | $25.70 |
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 $7.24 Median $7.24 Typical High $7.41 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.95 |
Where South Carolina sits
The same service costs 7.9 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· 5th of 51
$31.62
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.