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 $14.79 Typical High $32.36 | Facility | None | $12.02 | $14.79 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $12.02 Median $12.02 Typical High $14.79 | Professional | None | $12.02 | $12.02 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.84 Median $60.26 Typical High $144.54 | Facility | None | $28.84 | $60.26 | $144.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $32.36 Typical High $41.69 | Professional | None | $15.14 | $32.36 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $45.71 Typical High $93.33 | Facility | None | $28.84 | $45.71 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $19.50 | Professional | None | $7.76 | $10.00 | $19.50 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $16.22 Typical High $112.20 | Facility | None | $11.48 | $16.22 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $28.18 | Professional | None | $15.85 | $25.70 | $28.18 |
United Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $18.20 | Facility | None | $13.80 | $13.80 | $18.20 |
United Setting Professional Modifier None Typical Low $6.46 Median $10.47 Typical High $21.38 | Professional | None | $6.46 | $10.47 | $21.38 |
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 $6.17 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.40 Median $2.40 Typical High $2.45 | Professional | 53 · Discontinued | $2.40 | $2.40 | $2.45 |
Where South Carolina sits
The same service costs 11.5 times more in Vermont 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· 4th of 51
$32.36
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.