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 $10.72 Median $13.49 Typical High $28.84 | Facility | None | $10.72 | $13.49 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $13.18 | Professional | None | $10.72 | $10.72 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $25.70 | Professional | None | $25.70 | $25.70 | $25.70 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $66.07 Typical High $151.36 | Facility | None | $37.15 | $66.07 | $151.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $34.67 Typical High $38.02 | Professional | None | $13.80 | $34.67 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $41.69 Typical High $85.11 | Facility | None | $26.30 | $41.69 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $17.78 | Professional | None | $7.08 | $8.91 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $10.47 Median $14.45 Typical High $100.00 | Facility | None | $10.47 | $14.45 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $23.44 Typical High $25.70 | Professional | None | $15.14 | $23.44 | $25.70 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $16.60 | Facility | None | $12.59 | $12.59 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.77 Typical High $19.50 | Professional | None | $5.75 | $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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where South Carolina sits
The same service costs 28.8 times more in Vermont 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· 4th of 51
$34.67
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.