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 $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.90 | Professional | None | $38.02 | $38.02 | $38.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $151.36 Median $251.19 Typical High $676.08 | Facility | None | $151.36 | $251.19 | $676.08 |
BCBS South Carolina Setting Professional Modifier None Typical Low $48.98 Median $67.61 Typical High $120.23 | Professional | None | $48.98 | $67.61 | $120.23 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $123.03 Typical High $302.00 | Facility | None | $93.33 | $123.03 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $31.62 Typical High $61.66 | Professional | None | $24.55 | $31.62 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $37.15 Median $48.98 Typical High $79.43 | Facility | None | $37.15 | $48.98 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $87.10 Typical High $93.33 | Professional | None | $53.70 | $87.10 | $93.33 |
United Setting Facility Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Facility | None | $43.65 | $43.65 | $58.88 |
United Setting Professional Modifier None Typical Low $20.42 Median $32.36 Typical High $67.61 | Professional | None | $20.42 | $32.36 | $67.61 |
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 $19.05 Median $19.05 Typical High $19.50 | Professional | 52 · Reduced service | $19.05 | $19.05 | $19.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.59 Median $7.59 Typical High $7.76 | Professional | 53 · Discontinued | $7.59 | $7.59 | $7.76 |
Where South Carolina sits
The same service costs 3.5 times more in Kansas than in Rhode Island. 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
$69.18
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.