How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $14.13 Median $14.13 Typical High $28.84 | Facility | None | $14.13 | $14.13 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $17.38 | Professional | None | $14.13 | $14.13 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $42.66 Typical High $107.15 | Facility | None | $23.44 | $42.66 | $107.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $17.78 Median $22.91 Typical High $30.90 | Professional | None | $17.78 | $22.91 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $33.88 Median $45.71 Typical High $109.65 | Facility | None | $33.88 | $45.71 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $10.47 Typical High $21.88 | Professional | None | $9.12 | $10.47 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $16.98 Typical High $23.99 | Facility | None | $13.49 | $16.98 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $22.39 Typical High $22.39 | Professional | None | $21.38 | $22.39 | $22.39 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $21.38 | Facility | None | $16.22 | $16.22 | $21.38 |
United Setting Professional Modifier None Typical Low $7.59 Median $10.96 Typical High $22.39 | Professional | None | $7.59 | $10.96 | $22.39 |
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 $7.08 Median $7.08 Typical High $7.24 | Professional | 52 · Reduced service | $7.08 | $7.08 | $7.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.82 Median $2.82 Typical High $2.88 | Professional | 53 · Discontinued | $2.82 | $2.82 | $2.88 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Georgia. 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· 21st of 51
$18.62
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.