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 $7.08 Median $8.91 Typical High $25.70 | Facility | None | $7.08 | $8.91 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $7.08 Median $7.08 Typical High $11.75 | Professional | None | $7.08 | $7.08 | $11.75 |
Ambetter Setting Professional Modifier None Typical Low $4.27 Median $9.12 Typical High $16.60 | Professional | None | $4.27 | $9.12 | $16.60 |
BCBS South Carolina Setting Facility Modifier None Typical Low $24.55 Median $47.86 Typical High $109.65 | Facility | None | $24.55 | $47.86 | $109.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.91 Median $9.12 Typical High $15.14 | Professional | None | $8.91 | $9.12 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $16.98 Median $26.92 Typical High $56.23 | Facility | None | $16.98 | $26.92 | $56.23 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.89 Typical High $11.75 | Professional | None | $4.57 | $5.89 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $6.31 Median $9.12 Typical High $44.67 | Facility | None | $6.31 | $9.12 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $21.88 | Professional | None | $10.00 | $12.02 | $21.88 |
United Setting Facility Modifier None Typical Low $8.13 Median $8.13 Typical High $10.72 | Facility | None | $8.13 | $8.13 | $10.72 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $10.72 | Professional | None | $3.80 | $5.37 | $10.72 |
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 $3.55 Median $3.55 Typical High $3.63 | Professional | 52 · Reduced service | $3.55 | $3.55 | $3.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.41 Median $1.41 Typical High $1.45 | Professional | 53 · Discontinued | $1.41 | $1.41 | $1.45 |
Where South Carolina sits
The same service costs 10.7 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· 14th of 51
$11.75
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.