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 $10.23 Median $10.23 Typical High $10.23 | Facility | None | $10.23 | $10.23 | $10.23 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.47 | Professional | None | $10.23 | $10.23 | $10.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $51.29 Typical High $93.33 | Facility | None | $34.67 | $51.29 | $93.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.18 Median $28.18 Typical High $33.11 | Professional | None | $13.18 | $28.18 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $33.11 Typical High $81.28 | Facility | None | $25.12 | $33.11 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $6.76 Median $8.71 Typical High $16.60 | Professional | None | $6.76 | $8.71 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $13.18 Typical High $21.88 | Facility | None | $10.00 | $13.18 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $23.99 | Professional | None | $15.14 | $22.39 | $23.99 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $15.85 | Facility | None | $11.75 | $11.75 | $15.85 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $18.62 | Professional | None | $5.50 | $8.91 | $18.62 |
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 $5.13 Median $5.13 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.09 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas than in Nebraska. 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
$28.18
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.