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 $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $6.03 Median $6.03 Typical High $7.08 | Professional | None | $6.03 | $6.03 | $7.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.02 Median $16.60 Typical High $29.51 | Facility | None | $12.02 | $16.60 | $29.51 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $10.96 | Professional | None | $7.76 | $10.00 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $14.45 Median $19.50 Typical High $47.86 | Facility | None | $14.45 | $19.50 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $5.13 Typical High $9.55 | Professional | None | $3.98 | $5.13 | $9.55 |
Medcost Setting Facility Modifier None Typical Low $5.37 Median $6.92 Typical High $10.23 | Facility | None | $5.37 | $6.92 | $10.23 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $9.33 Typical High $14.13 | Professional | None | $7.94 | $9.33 | $14.13 |
United Setting Facility Modifier None Typical Low $6.92 Median $6.92 Typical High $9.33 | Facility | None | $6.92 | $6.92 | $9.33 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.37 Typical High $9.33 | Professional | None | $3.02 | $4.37 | $9.33 |
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 $3.02 Median $3.02 Typical High $3.09 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.09 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.20 Median $1.20 Typical High $1.23 | Professional | 53 · Discontinued | $1.20 | $1.20 | $1.23 |
Where South Carolina sits
The same service costs 3.2 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· 10th of 51
$10.00
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.