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 $14.79 Median $14.79 Typical High $26.92 | Facility | None | $14.79 | $14.79 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $18.20 | Professional | None | $14.79 | $14.79 | $18.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $72.44 Typical High $173.78 | Facility | None | $38.90 | $72.44 | $173.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.05 Median $25.70 Typical High $30.20 | Professional | None | $19.05 | $25.70 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $47.86 Typical High $117.49 | Facility | None | $36.31 | $47.86 | $117.49 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.59 Typical High $24.55 | Professional | None | $9.77 | $12.59 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $18.20 Typical High $25.12 | Facility | None | $13.18 | $18.20 | $25.12 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $22.91 Typical High $42.66 | Professional | None | $20.89 | $22.91 | $42.66 |
United Setting Facility Modifier None Typical Low $16.98 Median $16.98 Typical High $22.91 | Facility | None | $16.98 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $22.91 | Professional | None | $7.94 | $10.47 | $22.91 |
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 $7.41 Median $7.41 Typical High $7.59 | Professional | 52 · Reduced service | $7.41 | $7.41 | $7.59 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.95 Median $2.95 Typical High $3.02 | Professional | 53 · Discontinued | $2.95 | $2.95 | $3.02 |
Where South Carolina sits
The same service costs 5.5 times more in Kansas 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· 11th of 51
$25.70
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.