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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $5.89 Median $5.89 Typical High $6.03 | Professional | None | $5.89 | $5.89 | $6.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.13 Median $23.44 Typical High $41.69 | Facility | None | $14.13 | $23.44 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.41 Median $8.32 Typical High $15.14 | Professional | None | $7.41 | $8.32 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $14.13 Median $19.05 Typical High $45.71 | Facility | None | $14.13 | $19.05 | $45.71 |
Cigna Setting Professional Modifier None Typical Low $3.55 Median $4.37 Typical High $8.71 | Professional | None | $3.55 | $4.37 | $8.71 |
Medcost Setting Facility Modifier None Typical Low $5.25 Median $7.41 Typical High $10.00 | Facility | None | $5.25 | $7.41 | $10.00 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $10.96 Typical High $19.95 | Professional | None | $7.08 | $10.96 | $19.95 |
United Setting Facility Modifier None Typical Low $6.76 Median $6.76 Typical High $8.91 | Facility | None | $6.76 | $6.76 | $8.91 |
United Setting Professional Modifier None Typical Low $3.16 Median $4.47 Typical High $8.91 | Professional | None | $3.16 | $4.47 | $8.91 |
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 $2.95 Median $2.95 Typical High $3.02 | Professional | 52 · Reduced service | $2.95 | $2.95 | $3.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.17 Median $1.17 Typical High $1.20 | Professional | 53 · Discontinued | $1.17 | $1.17 | $1.20 |
Where South Carolina sits
The same service costs 3.5 times more in Kansas than in New Jersey. 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· 11th of 51
$8.91
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.