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 $23.99 Median $23.99 Typical High $50.12 | Facility | None | $23.99 | $23.99 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $28.18 | Professional | None | $23.99 | $23.99 | $28.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $51.29 Median $97.72 Typical High $199.53 | Facility | None | $51.29 | $97.72 | $199.53 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.90 Median $40.74 Typical High $60.26 | Professional | None | $30.90 | $40.74 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $79.43 Typical High $190.55 | Facility | None | $58.88 | $79.43 | $190.55 |
Cigna Setting Professional Modifier None Typical Low $15.85 Median $20.42 Typical High $38.90 | Professional | None | $15.85 | $20.42 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $21.88 Median $30.90 Typical High $40.74 | Facility | None | $21.88 | $30.90 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $43.65 Typical High $54.95 | Professional | None | $18.20 | $43.65 | $54.95 |
United Setting Facility Modifier None Typical Low $28.18 Median $28.18 Typical High $37.15 | Facility | None | $28.18 | $28.18 | $37.15 |
United Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $37.15 | Professional | None | $12.88 | $18.62 | $37.15 |
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 $12.02 Median $12.02 Typical High $12.30 | Professional | 52 · Reduced service | $12.02 | $12.02 | $12.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.79 Median $4.79 Typical High $5.01 | Professional | 53 · Discontinued | $4.79 | $4.79 | $5.01 |
Where South Carolina sits
The same service costs 4.2 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· 8th of 51
$43.65
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.