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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $10.00 | Professional | None | $8.51 | $8.51 | $10.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $61.66 Typical High $125.89 | Facility | None | $36.31 | $61.66 | $125.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.72 Median $20.89 Typical High $28.18 | Professional | None | $10.72 | $20.89 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $20.42 Median $27.54 Typical High $66.07 | Facility | None | $20.42 | $27.54 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $7.08 Typical High $13.80 | Professional | None | $5.37 | $7.08 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $11.22 Typical High $79.43 | Facility | None | $8.13 | $11.22 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $19.95 Typical High $36.31 | Professional | None | $12.02 | $19.95 | $36.31 |
United Setting Facility Modifier None Typical Low $9.77 Median $9.77 Typical High $12.88 | Facility | None | $9.77 | $9.77 | $12.88 |
United Setting Professional Modifier None Typical Low $4.57 Median $7.59 Typical High $15.14 | Professional | None | $4.57 | $7.59 | $15.14 |
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 $4.27 Median $4.27 Typical High $4.37 | Professional | 52 · Reduced service | $4.27 | $4.27 | $4.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $1.70 Typical High $1.74 | Professional | 53 · Discontinued | $1.70 | $1.70 | $1.74 |
Where South Carolina sits
The same service costs 4.9 times more in South Carolina 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· 1st of 51
$26.92
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.