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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $52.48 Median $89.13 Typical High $165.96 | Facility | None | $52.48 | $89.13 | $165.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $33.11 Typical High $58.88 | Professional | None | $25.12 | $33.11 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $154.88 | Facility | None | $47.86 | $64.57 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $12.02 Median $15.49 Typical High $30.20 | Professional | None | $12.02 | $15.49 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $25.12 Typical High $38.90 | Facility | None | $19.05 | $25.12 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $25.70 Median $42.66 Typical High $56.23 | Professional | None | $25.70 | $42.66 | $56.23 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Facility | None | $22.91 | $22.91 | $30.20 |
United Setting Professional Modifier None Typical Low $10.47 Median $15.85 Typical High $33.11 | Professional | None | $10.47 | $15.85 | $33.11 |
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 $9.77 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $4.07 | Professional | 53 · Discontinued | $3.89 | $3.89 | $4.07 |
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· 9th of 51
$33.11
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.