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 $5.62 Median $5.62 Typical High $5.62 | Facility | None | $5.62 | $5.62 | $5.62 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $5.75 | Professional | None | $5.62 | $5.62 | $5.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.59 Median $21.38 Typical High $40.74 | Facility | None | $12.59 | $21.38 | $40.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $15.14 | Professional | None | $5.01 | $7.24 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $18.20 Typical High $43.65 | Facility | None | $13.49 | $18.20 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $3.39 Median $4.37 Typical High $8.32 | Professional | None | $3.39 | $4.37 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $7.24 Typical High $9.55 | Facility | None | $5.01 | $7.24 | $9.55 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $16.98 | Professional | None | $6.03 | $10.96 | $16.98 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $8.71 | Facility | None | $6.46 | $6.46 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $8.71 | Professional | None | $3.02 | $4.37 | $8.71 |
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 $2.82 Median $2.82 Typical High $2.88 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.15 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.15 |
Where South Carolina sits
The same service costs 4.1 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· 15th of 51
$8.32
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.