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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | None | $12.88 | $12.88 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $63.10 Typical High $177.83 | Facility | None | $36.31 | $63.10 | $177.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $28.18 Typical High $30.20 | Professional | None | $16.22 | $28.18 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $41.69 Typical High $102.33 | Facility | None | $30.90 | $41.69 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $10.72 Typical High $20.42 | Professional | None | $8.13 | $10.72 | $20.42 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $21.88 | Facility | None | $11.48 | $16.22 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $21.88 Typical High $42.66 | Professional | None | $18.20 | $21.88 | $42.66 |
United Setting Facility Modifier None Typical Low $14.79 Median $14.79 Typical High $19.50 | Facility | None | $14.79 | $14.79 | $19.50 |
United Setting Professional Modifier None Typical Low $6.92 Median $9.77 Typical High $19.50 | Professional | None | $6.92 | $9.77 | $19.50 |
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 $6.31 Median $6.31 Typical High $6.61 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.63 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.63 |
Where South Carolina sits
The same service costs 5.4 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· 3rd 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.