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 $22.91 Median $22.91 Typical High $85.11 | Facility | None | $22.91 | $22.91 | $85.11 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $28.18 | Professional | None | $22.91 | $22.91 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | None | $20.42 | $20.42 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $104.71 Typical High $204.17 | Facility | None | $37.15 | $104.71 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $40.74 Typical High $56.23 | Professional | None | $29.51 | $40.74 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $54.95 Median $74.13 Typical High $181.97 | Facility | None | $54.95 | $74.13 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $23.99 Median $28.84 Typical High $56.23 | Professional | None | $23.99 | $28.84 | $56.23 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $213.80 | Facility | None | $22.91 | $30.90 | $213.80 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $53.70 | Professional | None | $35.48 | $50.12 | $53.70 |
United Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $35.48 | Facility | None | $26.30 | $26.30 | $35.48 |
United Setting Professional Modifier None Typical Low $12.30 Median $17.78 Typical High $40.74 | Professional | None | $12.30 | $17.78 | $40.74 |
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 $11.48 Median $11.48 Typical High $11.75 | Professional | 52 · Reduced service | $11.48 | $11.48 | $11.75 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.57 Median $4.57 Typical High $4.68 | Professional | 53 · Discontinued | $4.57 | $4.57 | $4.68 |
Where South Carolina sits
The same service costs 4.4 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· 10th of 51
$40.74
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.