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 $9.33 Median $11.75 Typical High $25.12 | Facility | None | $9.33 | $11.75 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $11.48 | Professional | None | $9.33 | $9.33 | $11.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $100.00 Typical High $162.18 | Facility | None | $40.74 | $100.00 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.02 Median $16.98 Typical High $30.20 | Professional | None | $12.02 | $16.98 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $74.13 | Facility | None | $22.91 | $30.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $15.14 Median $16.98 Typical High $33.11 | Professional | None | $15.14 | $16.98 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $17.38 Typical High $87.10 | Facility | None | $10.96 | $17.38 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $21.88 Typical High $42.66 | Professional | None | $12.88 | $21.88 | $42.66 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Facility | None | $10.96 | $10.96 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $14.45 | Professional | None | $5.01 | $7.24 | $14.45 |
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 $4.68 Median $4.68 Typical High $4.79 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.95 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.95 |
Where South Carolina sits
The same service costs 3.9 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· 9th of 51
$19.50
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.