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 $27.54 Median $27.54 Typical High $56.23 | Facility | None | $27.54 | $27.54 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $28.18 | Professional | None | $27.54 | $27.54 | $28.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $67.61 Typical High $169.82 | Facility | None | $38.90 | $67.61 | $169.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $48.98 | Professional | None | $35.48 | $37.15 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $89.13 Typical High $218.78 | Facility | None | $66.07 | $89.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $44.67 | Professional | None | $17.78 | $22.91 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $30.20 Typical High $46.77 | Facility | None | $20.89 | $30.20 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $25.12 Typical High $28.18 | Professional | None | $18.20 | $25.12 | $28.18 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Facility | None | $31.62 | $31.62 | $42.66 |
United Setting Professional Modifier None Typical Low $10.96 Median $17.78 Typical High $42.66 | Professional | None | $10.96 | $17.78 | $42.66 |
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 $13.80 Median $13.80 Typical High $14.13 | Professional | 52 · Reduced service | $13.80 | $13.80 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | 53 · Discontinued | $5.50 | $5.50 | $5.62 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska 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
$37.15
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.