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 $7.94 Median $7.94 Typical High $7.94 | Facility | None | $7.94 | $7.94 | $7.94 |
Aetna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $8.13 | Professional | None | $7.94 | $7.94 | $8.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.42 Median $20.89 Typical High $60.26 | Facility | None | $20.42 | $20.89 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.00 Median $19.05 Typical High $38.02 | Professional | None | $10.00 | $19.05 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $19.05 Median $25.70 Typical High $61.66 | Facility | None | $19.05 | $25.70 | $61.66 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $5.13 Typical High $12.30 | Professional | None | $4.57 | $5.13 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $7.08 Median $10.00 Typical High $13.49 | Facility | None | $7.08 | $10.00 | $13.49 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $13.18 Typical High $14.13 | Professional | None | $7.08 | $13.18 | $14.13 |
United Setting Facility Modifier None Typical Low $9.12 Median $9.12 Typical High $12.02 | Facility | None | $9.12 | $9.12 | $12.02 |
United Setting Professional Modifier None Typical Low $4.27 Median $6.03 Typical High $12.02 | Professional | None | $4.27 | $6.03 | $12.02 |
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 $3.98 Median $3.98 Typical High $4.07 | Professional | 52 · Reduced service | $3.98 | $3.98 | $4.07 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.58 Median $1.58 Typical High $1.62 | Professional | 53 · Discontinued | $1.58 | $1.58 | $1.62 |
Where South Carolina sits
The same service costs 5.4 times more in Kansas than in Kentucky. 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· 3rd of 51
$19.05
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.