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 $29.51 Median $29.51 Typical High $29.51 | Facility | None | $29.51 | $29.51 | $29.51 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $29.51 Typical High $29.51 | Professional | None | $9.55 | $29.51 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $41.69 | Facility | None | $41.69 | $41.69 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $30.20 Typical High $38.02 | Professional | None | $15.14 | $30.20 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $77.62 Typical High $234.42 | Facility | None | $70.79 | $77.62 | $234.42 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $45.71 | Professional | None | $24.55 | $31.62 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $32.36 Typical High $50.12 | Facility | None | $11.75 | $32.36 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $45.71 | Professional | None | $30.20 | $30.20 | $45.71 |
United Setting Facility Modifier None Typical Low $33.88 Median $33.88 Typical High $45.71 | Facility | None | $33.88 | $33.88 | $45.71 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $21.88 | Professional | None | $5.01 | $7.24 | $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 $4.79 Median $14.79 Typical High $14.79 | Professional | 52 · Reduced service | $4.79 | $14.79 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $5.89 Typical High $5.89 | Professional | 53 · Discontinued | $1.95 | $5.89 | $5.89 |
Where South Carolina sits
The same service costs 10.0 times more in Alaska than in New Jersey. 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· 14th of 51
$30.20
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.