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 $16.22 Median $20.42 Typical High $43.65 | Facility | None | $16.22 | $20.42 | $43.65 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $25.12 | Professional | None | $16.22 | $16.22 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $20.89 Median $28.84 Typical High $38.02 | Professional | None | $20.89 | $28.84 | $38.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $60.26 Median $123.03 Typical High $251.19 | Facility | None | $60.26 | $123.03 | $251.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.89 Median $25.12 Typical High $52.48 | Professional | None | $20.89 | $25.12 | $52.48 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $61.66 Typical High $128.82 | Facility | None | $38.90 | $61.66 | $128.82 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $13.49 Typical High $26.92 | Professional | None | $10.47 | $13.49 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $21.88 Typical High $151.36 | Facility | None | $15.49 | $21.88 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $35.48 Typical High $38.02 | Professional | None | $22.91 | $35.48 | $38.02 |
United Setting Facility Modifier None Typical Low $18.62 Median $18.62 Typical High $25.12 | Facility | None | $18.62 | $18.62 | $25.12 |
United Setting Professional Modifier None Typical Low $8.71 Median $14.79 Typical High $28.84 | Professional | None | $8.71 | $14.79 | $28.84 |
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 $8.13 Median $8.13 Typical High $8.32 | Professional | 52 · Reduced service | $8.13 | $8.13 | $8.32 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.24 Median $3.24 Typical High $3.31 | Professional | 53 · Discontinued | $3.24 | $3.24 | $3.31 |
Where South Carolina sits
The same service costs 5.6 times more in Vermont 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· 9th of 51
$30.90
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.