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 $5.50 Median $5.50 Typical High $5.50 | Facility | None | $5.50 | $5.50 | $5.50 |
Aetna Setting Professional Modifier None Typical Low $5.50 Median $5.50 Typical High $5.62 | Professional | None | $5.50 | $5.50 | $5.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $8.32 Median $15.14 Typical High $32.36 | Facility | None | $8.32 | $15.14 | $32.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $8.71 | Professional | None | $3.02 | $6.03 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $14.45 Typical High $43.65 | Facility | None | $13.18 | $14.45 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $1.51 Median $3.09 Typical High $8.32 | Professional | None | $1.51 | $3.09 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $2.29 Median $5.50 Typical High $9.33 | Facility | None | $2.29 | $5.50 | $9.33 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $8.32 | Professional | None | $3.02 | $5.01 | $8.32 |
United Setting Facility Modifier None Typical Low $6.31 Median $6.31 Typical High $8.32 | Facility | None | $6.31 | $6.31 | $8.32 |
United Setting Professional Modifier None Typical Low $2.29 Median $4.17 Typical High $7.08 | Professional | None | $2.29 | $4.17 | $7.08 |
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 $2.75 Median $2.75 Typical High $2.82 | Professional | 52 · Reduced service | $2.75 | $2.75 | $2.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $1.10 Typical High $1.12 | Professional | 53 · Discontinued | $1.10 | $1.10 | $1.12 |
Where South Carolina sits
The same service costs 5.4 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· 22nd of 51
$7.08
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.