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 $11.22 Median $11.22 Typical High $11.22 | Facility | None | $11.22 | $11.22 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.48 | Professional | None | $11.22 | $11.22 | $11.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.20 Median $35.48 Typical High $83.18 | Facility | None | $18.20 | $35.48 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.96 Median $14.45 Typical High $19.95 | Professional | None | $10.96 | $14.45 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $36.31 Typical High $89.13 | Facility | None | $27.54 | $36.31 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.61 Typical High $16.98 | Professional | None | $5.25 | $6.61 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $12.30 Typical High $19.05 | Facility | None | $8.13 | $12.30 | $19.05 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $13.18 Typical High $15.14 | Professional | None | $8.91 | $13.18 | $15.14 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $17.38 | Facility | None | $12.88 | $12.88 | $17.38 |
United Setting Professional Modifier None Typical Low $5.37 Median $7.59 Typical High $16.22 | Professional | None | $5.37 | $7.59 | $16.22 |
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 $5.62 Median $5.62 Typical High $5.75 | Professional | 52 · Reduced service | $5.62 | $5.62 | $5.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.24 Median $2.24 Typical High $2.29 | Professional | 53 · Discontinued | $2.24 | $2.24 | $2.29 |
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· 15th of 51
$15.14
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.