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 $12.02 Median $12.02 Typical High $20.89 | Facility | None | $12.02 | $12.02 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.30 | Professional | None | $12.02 | $12.02 | $12.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $72.44 Typical High $162.18 | Facility | None | $40.74 | $72.44 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $38.90 | Professional | None | $15.49 | $15.85 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $95.50 | Facility | None | $29.51 | $46.77 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $19.50 | Professional | None | $7.94 | $10.23 | $19.50 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $16.22 Typical High $112.20 | Facility | None | $11.75 | $16.22 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $28.84 Typical High $32.36 | Professional | None | $16.98 | $28.84 | $32.36 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $18.62 | Facility | None | $13.80 | $13.80 | $18.62 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $21.88 | Professional | None | $6.46 | $10.47 | $21.88 |
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 $6.03 Median $6.03 Typical High $6.17 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.45 |
Where South Carolina sits
The same service costs 6.8 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· 9th of 51
$21.88
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.