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 $5.01 Median $5.01 Typical High $10.23 | Facility | None | $5.01 | $5.01 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $5.01 Median $5.01 Typical High $5.75 | Professional | None | $5.01 | $5.01 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $12.02 | Professional | None | $12.02 | $12.02 | $12.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.88 Median $23.99 Typical High $51.29 | Facility | None | $12.88 | $23.99 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $15.85 | Professional | None | $6.46 | $8.91 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $12.30 Median $16.60 Typical High $39.81 | Facility | None | $12.30 | $16.60 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $3.31 Median $4.27 Typical High $8.32 | Professional | None | $3.31 | $4.27 | $8.32 |
Medcost Setting Facility Modifier None Typical Low $4.90 Median $6.76 Typical High $46.77 | Facility | None | $4.90 | $6.76 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $14.13 | Professional | None | $7.08 | $12.02 | $14.13 |
United Setting Facility Modifier None Typical Low $5.75 Median $5.75 Typical High $7.76 | Facility | None | $5.75 | $5.75 | $7.76 |
United Setting Professional Modifier None Typical Low $2.69 Median $4.57 Typical High $10.00 | Professional | None | $2.69 | $4.57 | $10.00 |
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 $2.51 Median $2.51 Typical High $2.57 | Professional | 52 · Reduced service | $2.51 | $2.51 | $2.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.00 Median $1.00 Typical High $1.05 | Professional | 53 · Discontinued | $1.00 | $1.00 | $1.05 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska 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· 5th of 51
$10.72
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.