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 $4.27 Median $4.27 Typical High $4.27 | Facility | None | $4.27 | $4.27 | $4.27 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | None | $4.27 | $4.27 | $4.37 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.45 Median $23.99 Typical High $43.65 | Facility | None | $14.45 | $23.99 | $43.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.50 Median $14.13 Typical High $16.98 | Professional | None | $5.50 | $14.13 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $33.88 | Facility | None | $10.47 | $14.13 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $6.92 | Professional | None | $2.82 | $3.55 | $6.92 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $5.75 Typical High $39.81 | Facility | None | $4.17 | $5.75 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $10.00 | Professional | None | $6.03 | $9.33 | $10.00 |
United Setting Facility Modifier None Typical Low $4.90 Median $4.90 Typical High $6.61 | Facility | None | $4.90 | $4.90 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $7.76 | Professional | None | $2.29 | $3.72 | $7.76 |
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 $2.14 Median $2.14 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.87 |
Where South Carolina sits
The same service costs 6.0 times more in Kansas 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· 2nd of 51
$14.13
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.