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 $17.78 Median $17.78 Typical High $36.31 | Facility | None | $17.78 | $17.78 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | None | $17.78 | $17.78 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.39 Median $42.66 Typical High $239.88 | Facility | None | $22.39 | $42.66 | $239.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.48 Median $20.89 Typical High $22.91 | Professional | None | $11.48 | $20.89 | $22.91 |
Cigna Setting Facility Modifier None Typical Low $43.65 Median $57.54 Typical High $141.25 | Facility | None | $43.65 | $57.54 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $29.51 | Professional | None | $11.75 | $15.14 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $19.50 Typical High $30.20 | Facility | None | $11.75 | $19.50 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $27.54 | Professional | None | $14.13 | $14.13 | $27.54 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $27.54 | Facility | None | $20.42 | $20.42 | $27.54 |
United Setting Professional Modifier None Typical Low $6.17 Median $11.48 Typical High $27.54 | Professional | None | $6.17 | $11.48 | $27.54 |
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 $8.91 Median $8.91 Typical High $9.12 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.63 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.63 |
Where South Carolina sits
The same service costs 6.6 times more in Alaska 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· 27th of 51
$22.39
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.