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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $70.79 | Professional | None | $69.18 | $69.18 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $165.96 Median $263.03 Typical High $524.81 | Facility | None | $165.96 | $263.03 | $524.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $151.36 | Professional | None | $74.13 | $87.10 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $223.87 Typical High $537.03 | Facility | None | $165.96 | $223.87 | $537.03 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $102.33 | Professional | None | $39.81 | $41.69 | $102.33 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $117.49 | Facility | None | $61.66 | $83.18 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $93.33 Typical High $109.65 | Professional | None | $70.79 | $93.33 | $109.65 |
United Setting Facility Modifier None Typical Low $79.43 Median $79.43 Typical High $104.71 | Facility | None | $79.43 | $79.43 | $104.71 |
United Setting Professional Modifier None Typical Low $37.15 Median $52.48 Typical High $104.71 | Professional | None | $37.15 | $52.48 | $104.71 |
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 $34.67 Median $34.67 Typical High $35.48 | Professional | 52 · Reduced service | $34.67 | $34.67 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.13 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.13 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska 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· 16th of 51
$93.33
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.