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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $16.22 | Professional | None | $15.85 | $15.85 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $16.60 Typical High $29.51 | Facility | None | $10.96 | $16.60 | $29.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $20.42 | Professional | None | $7.08 | $10.96 | $20.42 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $42.66 Typical High $125.89 | Facility | None | $37.15 | $42.66 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $2.75 Median $9.33 Typical High $20.89 | Professional | None | $2.75 | $9.33 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $4.37 Median $15.85 Typical High $26.92 | Facility | None | $4.37 | $15.85 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $10.96 | Professional | None | $5.01 | $7.94 | $10.96 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Facility | None | $18.20 | $18.20 | $24.55 |
United Setting Professional Modifier None Typical Low $3.02 Median $8.51 Typical High $18.62 | Professional | None | $3.02 | $8.51 | $18.62 |
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 $7.94 Median $7.94 Typical High $8.13 | Professional | 52 · Reduced service | $7.94 | $7.94 | $8.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.24 |
Where South Carolina sits
The same service costs 7.6 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· 40th of 51
$12.02
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.