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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $16.22 | Professional | None | $13.80 | $13.80 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $57.54 Typical High $165.96 | Facility | None | $31.62 | $57.54 | $165.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $17.78 Median $25.12 Typical High $30.20 | Professional | None | $17.78 | $25.12 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $109.65 | Facility | None | $33.88 | $45.71 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $22.39 | Professional | None | $9.12 | $11.75 | $22.39 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $17.38 Typical High $23.99 | Facility | None | $12.59 | $17.38 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $42.66 | Professional | None | $19.95 | $21.88 | $42.66 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $21.38 | Facility | None | $16.22 | $16.22 | $21.38 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.47 Typical High $21.38 | Professional | None | $7.59 | $10.47 | $21.38 |
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 $6.92 Median $6.92 Typical High $7.08 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.08 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.88 |
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· 9th of 51
$25.12
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.