How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
Ambetter Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.90 Median $30.90 Typical High $30.90 | Facility | None | $30.90 | $30.90 | $30.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.70 Median $64.57 Typical High $70.79 | Professional | None | $25.70 | $64.57 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $158.49 | Facility | None | $47.86 | $64.57 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $21.38 Typical High $30.90 | Professional | None | $16.60 | $21.38 | $30.90 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $22.91 Typical High $33.88 | Facility | None | $17.78 | $22.91 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $30.20 | Professional | None | $20.42 | $20.42 | $30.20 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Facility | None | $22.91 | $22.91 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.14 Typical High $31.62 | Professional | None | $10.72 | $15.14 | $31.62 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where South Carolina sits
The same service costs 3.8 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· 2nd of 51
$47.86
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.