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 $4.47 Median $4.47 Typical High $4.47 | Facility | None | $4.47 | $4.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.01 | Professional | None | $4.47 | $4.47 | $5.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.49 Median $30.20 Typical High $70.79 | Facility | None | $13.49 | $30.20 | $70.79 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $5.75 Typical High $12.02 | Professional | None | $5.01 | $5.75 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $36.31 | Facility | None | $10.96 | $14.79 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $7.41 | Professional | None | $2.95 | $3.72 | $7.41 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $5.75 Typical High $7.59 | Facility | None | $4.07 | $5.75 | $7.59 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $14.13 | Professional | None | $6.03 | $8.91 | $14.13 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $6.92 | Facility | None | $5.25 | $5.25 | $6.92 |
United Setting Professional Modifier None Typical Low $2.40 Median $3.47 Typical High $6.92 | Professional | None | $2.40 | $3.47 | $6.92 |
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 $2.24 Median $2.24 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.89 | $0.91 |
Where South Carolina sits
The same service costs 4.0 times more in Kansas 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· 14th of 51
$6.92
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.