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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $26.92 | Professional | None | $26.30 | $26.30 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $74.13 Median $125.89 Typical High $281.84 | Facility | None | $74.13 | $125.89 | $281.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $33.88 Median $60.26 Typical High $85.11 | Professional | None | $33.88 | $60.26 | $85.11 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $87.10 Typical High $208.93 | Facility | None | $64.57 | $87.10 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $22.39 Typical High $42.66 | Professional | None | $17.38 | $22.39 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $33.88 Typical High $56.23 | Facility | None | $25.70 | $33.88 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $54.95 Typical High $61.66 | Professional | None | $38.02 | $54.95 | $61.66 |
United Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $40.74 | Facility | None | $30.90 | $30.90 | $40.74 |
United Setting Professional Modifier None Typical Low $14.13 Median $22.91 Typical High $47.86 | Professional | None | $14.13 | $22.91 | $47.86 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Where South Carolina sits
The same service costs 4.4 times more in Kansas than in Alabama. 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
$60.26
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.