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 $6.92 Median $6.92 Typical High $6.92 | Facility | None | $6.92 | $6.92 | $6.92 |
Aetna Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $7.08 | Professional | None | $6.92 | $6.92 | $7.08 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.14 Median $23.44 Typical High $41.69 | Facility | None | $15.14 | $23.44 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.91 Median $12.30 Typical High $15.14 | Professional | None | $8.91 | $12.30 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $22.39 Typical High $53.70 | Facility | None | $16.60 | $22.39 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $5.75 Typical High $11.22 | Professional | None | $4.47 | $5.75 | $11.22 |
Medcost Setting Facility Modifier None Typical Low $6.17 Median $8.51 Typical High $11.75 | Facility | None | $6.17 | $8.51 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $10.96 | Professional | None | $7.94 | $10.23 | $10.96 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $10.72 | Facility | None | $7.94 | $7.94 | $10.72 |
United Setting Professional Modifier None Typical Low $3.72 Median $5.25 Typical High $10.72 | Professional | None | $3.72 | $5.25 | $10.72 |
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 $3.47 Median $3.47 Typical High $3.55 | Professional | 52 · Reduced service | $3.47 | $3.47 | $3.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.38 Median $1.38 Typical High $1.41 | Professional | 53 · Discontinued | $1.38 | $1.38 | $1.41 |
Where South Carolina sits
The same service costs 7.1 times more in Kansas 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· 6th of 51
$13.18
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.