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 $41.69 Median $74.13 Typical High $131.83 | Facility | None | $41.69 | $74.13 | $131.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.42 Median $28.18 Typical High $30.20 | Professional | None | $20.42 | $28.18 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $51.29 Typical High $125.89 | Facility | None | $38.90 | $51.29 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $25.70 | Professional | None | $10.23 | $13.49 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $18.20 Typical High $26.92 | Facility | None | $14.45 | $18.20 | $26.92 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $24.55 Typical High $42.66 | Professional | None | $21.88 | $24.55 | $42.66 |
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 $8.51 Median $11.75 Typical High $24.55 | Professional | None | $8.51 | $11.75 | $24.55 |
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 4.7 times more in Kansas than in West Virginia. 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· 11th of 51
$28.18
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.