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 $7.41 Median $7.41 Typical High $7.41 | Facility | None | $7.41 | $7.41 | $7.41 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $7.59 | Professional | None | $7.41 | $7.41 | $7.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.88 Median $38.02 Typical High $91.20 | Facility | None | $21.88 | $38.02 | $91.20 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.33 Median $14.13 Typical High $22.91 | Professional | None | $9.33 | $14.13 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $17.78 Median $23.99 Typical High $57.54 | Facility | None | $17.78 | $23.99 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $4.79 Median $6.03 Typical High $11.75 | Professional | None | $4.79 | $6.03 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $9.33 Typical High $14.79 | Facility | None | $7.08 | $9.33 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $16.98 Typical High $22.91 | Professional | None | $10.00 | $16.98 | $22.91 |
United Setting Facility Modifier None Typical Low $8.51 Median $8.51 Typical High $11.22 | Facility | None | $8.51 | $8.51 | $11.22 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.31 Typical High $12.59 | Professional | None | $3.98 | $6.31 | $12.59 |
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 $3.72 Median $3.72 Typical High $3.80 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.51 |
Where South Carolina sits
The same service costs 3.5 times more in Kansas than in Alabama. 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· 6th of 51
$14.13
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.