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 $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $9.12 | Professional | None | $8.91 | $8.91 | $9.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.30 Median $44.67 Typical High $79.43 | Facility | None | $26.30 | $44.67 | $79.43 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.48 Median $16.98 Typical High $28.84 | Professional | None | $11.48 | $16.98 | $28.84 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $29.51 Typical High $72.44 | Facility | None | $21.88 | $29.51 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $14.79 | Professional | None | $5.89 | $7.59 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $11.48 Typical High $19.05 | Facility | None | $8.71 | $11.48 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $20.89 | Professional | None | $12.88 | $19.50 | $20.89 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $13.80 | Facility | None | $10.47 | $10.47 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $7.76 Typical High $16.22 | Professional | None | $4.79 | $7.76 | $16.22 |
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 $4.47 Median $4.47 Typical High $4.57 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas than in Nebraska. 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· 5th of 51
$18.20
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.