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 $7.59 Median $7.59 Typical High $7.59 | Facility | None | $7.59 | $7.59 | $7.59 |
Aetna Setting Professional Modifier None Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | None | $7.59 | $7.59 | $7.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19.05 Median $28.18 Typical High $50.12 | Facility | None | $19.05 | $28.18 | $50.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $18.20 | Professional | None | $9.77 | $12.88 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $24.55 Typical High $60.26 | Facility | None | $18.62 | $24.55 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $11.75 | Professional | None | $4.47 | $5.62 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $6.76 Median $9.77 Typical High $12.88 | Facility | None | $6.76 | $9.77 | $12.88 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $14.13 | Professional | None | $10.00 | $14.13 | $14.13 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $11.75 | Facility | None | $8.71 | $8.71 | $11.75 |
United Setting Professional Modifier None Typical Low $4.07 Median $5.89 Typical High $11.75 | Professional | None | $4.07 | $5.89 | $11.75 |
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 $3.80 Median $3.80 Typical High $3.89 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.51 Median $1.51 Typical High $1.55 | Professional | 53 · Discontinued | $1.51 | $1.51 | $1.55 |
Where South Carolina sits
The same service costs 3.6 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· 10th of 51
$12.88
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.