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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | None | $10.96 | $10.96 | $11.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $44.67 Median $85.11 Typical High $177.83 | Facility | None | $44.67 | $85.11 | $177.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $30.90 | Professional | None | $14.13 | $15.14 | $30.90 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $85.11 | Facility | None | $26.30 | $35.48 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $9.12 Typical High $17.78 | Professional | None | $7.08 | $9.12 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $10.23 Median $14.13 Typical High $19.95 | Facility | None | $10.23 | $14.13 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $22.91 Typical High $33.11 | Professional | None | $15.85 | $22.91 | $33.11 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $16.98 | Facility | None | $12.59 | $12.59 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $16.98 | Professional | None | $5.89 | $8.51 | $16.98 |
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 $5.50 Median $5.50 Typical High $5.62 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.24 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Kentucky. 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· 11th of 51
$18.62
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.