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 $5.13 Median $5.13 Typical High $5.13 | Facility | None | $5.13 | $5.13 | $5.13 |
Aetna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | None | $5.13 | $5.13 | $5.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $19.05 Typical High $38.90 | Facility | None | $10.96 | $19.05 | $38.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $12.02 | Professional | None | $3.98 | $6.46 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $39.81 | Facility | None | $12.30 | $16.60 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.27 Typical High $8.32 | Professional | None | $3.31 | $4.27 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $4.57 Median $6.46 Typical High $8.71 | Facility | None | $4.57 | $6.46 | $8.71 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $8.91 Typical High $10.96 | Professional | None | $7.08 | $8.91 | $10.96 |
United Setting Facility Modifier None Typical Low $5.89 Median $5.89 Typical High $7.76 | Facility | None | $5.89 | $5.89 | $7.76 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.89 Typical High $7.76 | Professional | None | $2.75 | $3.89 | $7.76 |
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 $2.51 Median $2.51 Typical High $2.63 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.63 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.02 Median $1.02 Typical High $1.05 | Professional | 53 · Discontinued | $1.02 | $1.02 | $1.05 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Maryland. 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· 20th of 51
$6.92
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.