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 $19.95 Median $25.70 Typical High $74.13 | Facility | None | $19.95 | $25.70 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $35.48 | Professional | None | $19.95 | $19.95 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $21.88 Typical High $47.86 | Professional | None | $12.02 | $21.88 | $47.86 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $251.19 | Facility | None | $67.61 | $117.49 | $251.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $64.57 | Professional | None | $25.70 | $30.20 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $48.98 Median $77.62 Typical High $158.49 | Facility | None | $48.98 | $77.62 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $13.18 Median $16.98 Typical High $33.11 | Professional | None | $13.18 | $16.98 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $26.92 Typical High $186.21 | Facility | None | $19.50 | $26.92 | $186.21 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $46.77 Typical High $75.86 | Professional | None | $28.84 | $46.77 | $75.86 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $30.90 | Facility | None | $23.44 | $23.44 | $30.90 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.38 Typical High $36.31 | Professional | None | $10.96 | $17.38 | $36.31 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.17 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.17 |
Where South Carolina sits
The same service costs 7.4 times more in Vermont 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· 10th of 51
$38.90
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.