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 $12.02 Median $12.02 Typical High $19.50 | Facility | None | $12.02 | $12.02 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $13.49 | Professional | None | $12.02 | $12.02 | $13.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $109.65 | Facility | None | $33.11 | $57.54 | $109.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.49 Median $25.70 Typical High $38.90 | Professional | None | $15.49 | $25.70 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $95.50 | Facility | None | $29.51 | $39.81 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $10.23 Typical High $19.95 | Professional | None | $7.94 | $10.23 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $15.49 Typical High $25.70 | Facility | None | $11.75 | $15.49 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $18.62 Median $26.30 Typical High $28.84 | Professional | None | $18.62 | $26.30 | $28.84 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $18.62 | Facility | None | $14.13 | $14.13 | $18.62 |
United Setting Professional Modifier None Typical Low $6.61 Median $10.96 Typical High $28.18 | Professional | None | $6.61 | $10.96 | $28.18 |
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 $6.03 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.51 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas 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· 3rd of 51
$28.84
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.