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 $16.98 Median $21.38 Typical High $45.71 | Facility | None | $16.98 | $21.38 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $25.12 | Professional | None | $16.98 | $16.98 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $10.96 Median $21.88 Typical High $39.81 | Professional | None | $10.96 | $21.88 | $39.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $104.71 Typical High $245.47 | Facility | None | $38.90 | $104.71 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $30.20 Typical High $54.95 | Professional | None | $21.88 | $30.20 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $54.95 Typical High $134.90 | Facility | None | $40.74 | $54.95 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $14.13 Typical High $27.54 | Professional | None | $10.96 | $14.13 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $21.88 Typical High $35.48 | Facility | None | $16.22 | $21.88 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $39.81 | Professional | None | $23.99 | $37.15 | $39.81 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $26.30 | Facility | None | $19.50 | $19.50 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $14.79 Typical High $30.20 | Professional | None | $9.12 | $14.79 | $30.20 |
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 $8.51 Median $8.51 Typical High $8.71 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.47 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.47 |
Where South Carolina sits
The same service costs 4.8 times more in Vermont than in Maryland. 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
$31.62
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.