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 $7.41 Median $9.33 Typical High $19.95 | Facility | None | $7.41 | $9.33 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $7.41 Median $7.41 Typical High $9.12 | Professional | None | $7.41 | $7.41 | $9.12 |
Ambetter Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | None | $17.78 | $17.78 | $17.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $50.12 Typical High $169.82 | Facility | None | $23.44 | $50.12 | $169.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.55 Median $23.99 Typical High $30.20 | Professional | None | $9.55 | $23.99 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $18.20 Median $28.84 Typical High $60.26 | Facility | None | $18.20 | $28.84 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.31 Typical High $12.30 | Professional | None | $4.90 | $6.31 | $12.30 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $10.00 Typical High $70.79 | Facility | None | $7.24 | $10.00 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $16.22 Typical High $18.20 | Professional | None | $10.96 | $16.22 | $18.20 |
United Setting Facility Modifier None Typical Low $8.71 Median $8.71 Typical High $11.48 | Facility | None | $8.71 | $8.71 | $11.48 |
United Setting Professional Modifier None Typical Low $3.98 Median $6.46 Typical High $13.49 | Professional | None | $3.98 | $6.46 | $13.49 |
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 $3.72 Median $3.72 Typical High $3.80 | Professional | 52 · Reduced service | $3.72 | $3.72 | $3.80 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.48 Median $1.48 Typical High $1.51 | Professional | 53 · Discontinued | $1.48 | $1.48 | $1.51 |
Where South Carolina sits
The same service costs 5.9 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· 2nd of 51
$23.99
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.