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 $4.27 Median $5.50 Typical High $15.85 | Facility | None | $4.27 | $5.50 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $4.27 Median $4.27 Typical High $5.25 | Professional | None | $4.27 | $4.27 | $5.25 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.49 Median $25.70 Typical High $51.29 | Facility | None | $13.49 | $25.70 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $5.50 Typical High $14.13 | Professional | None | $5.01 | $5.50 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $16.60 Typical High $33.88 | Facility | None | $10.47 | $16.60 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $7.08 | Professional | None | $2.82 | $3.55 | $7.08 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $5.50 Typical High $9.12 | Facility | None | $4.17 | $5.50 | $9.12 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $12.02 | Professional | None | $6.03 | $10.96 | $12.02 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $6.61 | Facility | None | $5.01 | $5.01 | $6.61 |
United Setting Professional Modifier None Typical Low $2.29 Median $3.72 Typical High $7.76 | Professional | None | $2.29 | $3.72 | $7.76 |
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 $2.14 Median $2.14 Typical High $2.19 | Professional | 52 · Reduced service | $2.14 | $2.14 | $2.19 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.85 Median $0.85 Typical High $0.87 | Professional | 53 · Discontinued | $0.85 | $0.85 | $0.87 |
Where South Carolina sits
The same service costs 12.3 times more in Vermont than in Maryland. 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
$6.92
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.