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 $19.95 Median $24.55 Typical High $53.70 | Facility | None | $19.95 | $24.55 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $30.20 | Professional | None | $19.95 | $19.95 | $30.20 |
Ambetter Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
BCBS South Carolina Setting Facility Modifier None Typical Low $60.26 Median $107.15 Typical High $251.19 | Facility | None | $60.26 | $107.15 | $251.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $47.86 Typical High $64.57 | Professional | None | $25.70 | $47.86 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $158.49 | Facility | None | $47.86 | $64.57 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $30.90 | Professional | None | $12.88 | $16.60 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $26.92 Typical High $181.97 | Facility | None | $19.05 | $26.92 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $43.65 Typical High $46.77 | Professional | None | $15.85 | $43.65 | $46.77 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Facility | None | $22.91 | $22.91 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.38 Typical High $35.48 | Professional | None | $10.72 | $17.38 | $35.48 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska than in Alabama. 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· 3rd of 51
$47.86
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.