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 $5.37 Median $5.37 Typical High $5.37 | Facility | None | $5.37 | $5.37 | $5.37 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $5.37 Typical High $5.50 | Professional | None | $5.37 | $5.37 | $5.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.14 Median $23.44 Typical High $41.69 | Facility | None | $15.14 | $23.44 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.92 Median $10.96 Typical High $15.14 | Professional | None | $6.92 | $10.96 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $17.38 Typical High $41.69 | Facility | None | $12.88 | $17.38 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.37 Typical High $8.71 | Professional | None | $3.47 | $4.37 | $8.71 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $6.92 Typical High $9.77 | Facility | None | $5.01 | $6.92 | $9.77 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $10.96 Typical High $15.14 | Professional | None | $7.94 | $10.96 | $15.14 |
United Setting Facility Modifier None Typical Low $6.17 Median $6.17 Typical High $8.13 | Facility | None | $6.17 | $6.17 | $8.13 |
United Setting Professional Modifier None Typical Low $2.88 Median $4.17 Typical High $10.47 | Professional | None | $2.88 | $4.17 | $10.47 |
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 $2.69 Median $2.69 Typical High $2.75 | Professional | 52 · Reduced service | $2.69 | $2.69 | $2.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.07 Median $1.07 Typical High $1.10 | Professional | 53 · Discontinued | $1.07 | $1.07 | $1.10 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas 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· 6th of 51
$10.96
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.