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 $5.37 Median $6.76 Typical High $14.45 | Facility | None | $5.37 | $6.76 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $8.13 | Professional | None | $5.37 | $5.37 | $8.13 |
Ambetter Setting Professional Modifier None Typical Low $4.79 Median $12.59 Typical High $12.59 | Professional | None | $4.79 | $12.59 | $12.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $17.38 Median $38.90 Typical High $77.62 | Facility | None | $17.38 | $38.90 | $77.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.92 Median $7.08 Typical High $16.98 | Professional | None | $6.92 | $7.08 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $20.42 Typical High $41.69 | Facility | None | $12.88 | $20.42 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.47 Typical High $8.71 | Professional | None | $3.47 | $4.47 | $8.71 |
Medcost Setting Facility Modifier None Typical Low $5.13 Median $7.24 Typical High $50.12 | Facility | None | $5.13 | $7.24 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $12.88 Typical High $24.55 | Professional | None | $6.03 | $12.88 | $24.55 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.32 | Facility | None | $6.17 | $6.17 | $8.32 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.68 Typical High $9.55 | Professional | None | $2.88 | $4.68 | $9.55 |
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 $2.69 Median $2.69 Typical High $2.75 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.10 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.10 |
Where South Carolina sits
The same service costs 13.5 times more in Vermont 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· 11th of 51
$9.55
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.