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 $30.20 Median $30.20 Typical High $48.98 | Facility | None | $30.20 | $30.20 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.90 | Professional | None | $30.20 | $30.20 | $30.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16.22 Median $31.62 Typical High $66.07 | Facility | None | $16.22 | $31.62 | $66.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $15.14 Typical High $38.90 | Professional | None | $5.01 | $15.14 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $100.00 Typical High $239.88 | Facility | None | $74.13 | $100.00 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $44.67 | Professional | None | $12.30 | $17.78 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $30.20 Typical High $51.29 | Facility | None | $8.13 | $30.20 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $12.88 Typical High $28.18 | Professional | None | $10.96 | $12.88 | $28.18 |
United Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $46.77 | Facility | None | $35.48 | $35.48 | $46.77 |
United Setting Professional Modifier None Typical Low $3.98 Median $16.22 Typical High $35.48 | Professional | None | $3.98 | $16.22 | $35.48 |
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 $15.14 Median $15.14 Typical High $15.49 | Professional | 52 · Reduced service | $15.14 | $15.14 | $15.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.31 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.31 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Oklahoma. 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· 49th of 51
$21.38
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.