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 $14.13 Median $14.13 Typical High $14.13 | Facility | None | $14.13 | $14.13 | $14.13 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $14.45 | Professional | None | $14.13 | $14.13 | $14.45 |
BCBS South Carolina Setting Facility Modifier None Typical Low $11.22 Median $25.70 Typical High $147.91 | Facility | None | $11.22 | $25.70 | $147.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $12.02 Typical High $17.78 | Professional | None | $3.98 | $12.02 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $112.20 | Facility | None | $33.88 | $45.71 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $11.75 Typical High $22.91 | Professional | None | $9.12 | $11.75 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $6.46 Median $16.22 Typical High $33.88 | Facility | None | $6.46 | $16.22 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $21.38 | Professional | None | $7.94 | $7.94 | $21.38 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $21.38 | Facility | None | $16.22 | $16.22 | $21.38 |
United Setting Professional Modifier None Typical Low $3.16 Median $8.91 Typical High $21.38 | Professional | None | $3.16 | $8.91 | $21.38 |
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 $7.08 Median $7.08 Typical High $7.24 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.88 |
Where South Carolina sits
The same service costs 6.2 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· 43rd of 51
$14.13
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.