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 $54.95 Median $54.95 Typical High $54.95 | Facility | None | $54.95 | $54.95 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $57.54 | Professional | None | $54.95 | $54.95 | $57.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $173.78 Median $288.40 Typical High $537.03 | Facility | None | $173.78 | $288.40 | $537.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $70.79 Median $74.13 Typical High $79.43 | Professional | None | $70.79 | $74.13 | $79.43 |
Cigna Setting Facility Modifier None Typical Low $134.90 Median $181.97 Typical High $436.52 | Facility | None | $134.90 | $181.97 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $81.28 | Professional | None | $32.36 | $33.88 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $50.12 Median $70.79 Typical High $95.50 | Facility | None | $50.12 | $70.79 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $89.13 Typical High $95.50 | Professional | None | $57.54 | $89.13 | $95.50 |
United Setting Facility Modifier None Typical Low $64.57 Median $64.57 Typical High $85.11 | Facility | None | $64.57 | $64.57 | $85.11 |
United Setting Professional Modifier None Typical Low $30.20 Median $42.66 Typical High $72.44 | Professional | None | $30.20 | $42.66 | $72.44 |
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 $27.54 Median $27.54 Typical High $28.18 | Professional | 52 · Reduced service | $27.54 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | 53 · Discontinued | $11.22 | $11.22 | $11.48 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 17th of 51
$74.13
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.