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 $7.76 Median $7.76 Typical High $7.76 | Facility | None | $7.76 | $7.76 | $7.76 |
Aetna Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | None | $7.76 | $7.76 | $7.94 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.88 Median $37.15 Typical High $67.61 | Facility | None | $21.88 | $37.15 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.77 Median $25.12 Typical High $30.90 | Professional | None | $9.77 | $25.12 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $18.62 Median $25.12 Typical High $60.26 | Facility | None | $18.62 | $25.12 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $12.59 | Professional | None | $4.90 | $6.46 | $12.59 |
Medcost Setting Facility Modifier None Typical Low $7.41 Median $9.77 Typical High $16.22 | Facility | None | $7.41 | $9.77 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $18.20 Typical High $30.20 | Professional | None | $10.96 | $18.20 | $30.20 |
United Setting Facility Modifier None Typical Low $8.91 Median $8.91 Typical High $11.75 | Facility | None | $8.91 | $8.91 | $11.75 |
United Setting Professional Modifier None Typical Low $4.17 Median $6.92 Typical High $13.80 | Professional | None | $4.17 | $6.92 | $13.80 |
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 $3.80 Median $3.80 Typical High $3.98 | Professional | 52 · Reduced service | $3.80 | $3.80 | $3.98 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.55 Median $1.55 Typical High $1.58 | Professional | 53 · Discontinued | $1.55 | $1.55 | $1.58 |
Where South Carolina sits
The same service costs 4.1 times more in Kansas than in Nebraska. 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
$25.12
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.