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 $6.17 Median $6.17 Typical High $6.17 | Facility | None | $6.17 | $6.17 | $6.17 |
Aetna Setting Professional Modifier None Typical Low $6.17 Median $6.17 Typical High $6.76 | Professional | None | $6.17 | $6.17 | $6.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19.50 Median $30.20 Typical High $53.70 | Facility | None | $19.50 | $30.20 | $53.70 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.76 Median $7.76 Typical High $8.51 | Professional | None | $7.76 | $7.76 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $14.79 Median $19.95 Typical High $47.86 | Facility | None | $14.79 | $19.95 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $3.24 Median $3.72 Typical High $9.12 | Professional | None | $3.24 | $3.72 | $9.12 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $7.24 Typical High $10.47 | Facility | None | $5.01 | $7.24 | $10.47 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $10.00 | Professional | None | $6.03 | $8.91 | $10.00 |
United Setting Facility Modifier None Typical Low $7.08 Median $7.08 Typical High $9.33 | Facility | None | $7.08 | $7.08 | $9.33 |
United Setting Professional Modifier None Typical Low $3.31 Median $4.68 Typical High $9.33 | Professional | None | $3.31 | $4.68 | $9.33 |
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 $3.02 Median $3.02 Typical High $3.16 | Professional | 52 · Reduced service | $3.02 | $3.02 | $3.16 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.23 Median $1.23 Typical High $1.26 | Professional | 53 · Discontinued | $1.23 | $1.23 | $1.26 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 19th of 51
$7.76
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.