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 $10.00 Median $12.88 Typical High $37.15 | Facility | None | $10.00 | $12.88 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $9.12 Median $10.00 Typical High $14.79 | Professional | None | $9.12 | $10.00 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $20.42 | Professional | None | $6.03 | $7.08 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.90 Median $63.10 Typical High $138.04 | Facility | None | $38.90 | $63.10 | $138.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $22.39 | Professional | None | $12.88 | $15.14 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $38.90 Typical High $79.43 | Facility | None | $24.55 | $38.90 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $16.22 | Professional | None | $6.61 | $8.51 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $13.49 Typical High $93.33 | Facility | None | $9.77 | $13.49 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $19.95 Typical High $23.99 | Professional | None | $14.13 | $19.95 | $23.99 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $15.49 | Facility | None | $11.75 | $11.75 | $15.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $9.12 Typical High $18.20 | Professional | None | $5.50 | $9.12 | $18.20 |
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 $5.01 Median $5.01 Typical High $5.13 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.04 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.04 |
Where South Carolina sits
The same service costs 8.3 times more in Vermont 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· 18th of 51
$15.14
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.