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 $14.45 Median $14.45 Typical High $14.45 | Facility | None | $14.45 | $14.45 | $14.45 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.79 | Professional | None | $14.45 | $14.45 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $43.65 Median $120.23 Typical High $263.03 | Facility | None | $43.65 | $120.23 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $21.38 | Professional | None | $15.14 | $15.85 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $54.95 Typical High $114.82 | Facility | None | $34.67 | $54.95 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.02 Typical High $23.44 | Professional | None | $9.33 | $12.02 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $15.85 Typical High $24.55 | Facility | None | $8.32 | $15.85 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $20.89 Typical High $21.88 | Professional | None | $10.96 | $20.89 | $21.88 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $21.88 | Facility | None | $16.60 | $16.60 | $21.88 |
United Setting Professional Modifier None Typical Low $4.27 Median $10.00 Typical High $21.88 | Professional | None | $4.27 | $10.00 | $21.88 |
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 $7.24 Median $7.24 Typical High $7.41 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.95 |
Where South Carolina sits
The same service costs 3.0 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· 26th of 51
$18.20
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.