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 $2.69 Median $2.69 Typical High $2.69 | Facility | None | $2.69 | $2.69 | $2.69 |
Aetna Setting Professional Modifier None Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | None | $2.69 | $2.69 | $2.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $19.05 Typical High $39.81 | Facility | None | $10.96 | $19.05 | $39.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.47 Median $3.98 Typical High $8.91 | Professional | None | $3.47 | $3.98 | $8.91 |
Cigna Setting Facility Modifier None Typical Low $6.46 Median $8.71 Typical High $21.88 | Facility | None | $6.46 | $8.71 | $21.88 |
Cigna Setting Professional Modifier None Typical Low $1.82 Median $2.19 Typical High $4.37 | Professional | None | $1.82 | $2.19 | $4.37 |
Medcost Setting Facility Modifier None Typical Low $2.57 Median $3.47 Typical High $5.62 | Facility | None | $2.57 | $3.47 | $5.62 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $5.89 Typical High $7.08 | Professional | None | $3.98 | $5.89 | $7.08 |
United Setting Facility Modifier None Typical Low $3.09 Median $3.09 Typical High $4.07 | Facility | None | $3.09 | $3.09 | $4.07 |
United Setting Professional Modifier None Typical Low $1.45 Median $2.34 Typical High $4.79 | Professional | None | $1.45 | $2.34 | $4.79 |
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 $1.35 Median $1.35 Typical High $1.38 | Professional | 52 · Reduced service | $1.35 | $1.35 | $1.38 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.54 Median $0.54 Typical High $0.55 | Professional | 53 · Discontinued | $0.54 | $0.54 | $0.55 |
Where South Carolina sits
The same service costs 6.2 times more in Kansas than in Maryland. 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· 10th of 51
$4.90
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.