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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | None | $10.96 | $10.96 | $11.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.92 Median $43.65 Typical High $75.86 | Facility | None | $26.92 | $43.65 | $75.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $25.70 Typical High $28.18 | Professional | None | $14.13 | $25.70 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $26.92 Median $36.31 Typical High $87.10 | Facility | None | $26.92 | $36.31 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $6.76 Typical High $16.60 | Professional | None | $6.46 | $6.76 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $14.13 Typical High $18.62 | Facility | None | $10.00 | $14.13 | $18.62 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $17.78 Typical High $19.05 | Professional | None | $12.02 | $17.78 | $19.05 |
United Setting Facility Modifier None Typical Low $12.88 Median $12.88 Typical High $16.98 | Facility | None | $12.88 | $12.88 | $16.98 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $16.98 | Professional | None | $5.89 | $8.51 | $16.98 |
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 $5.50 Median $5.50 Typical High $5.62 | Professional | 52 · Reduced service | $5.50 | $5.50 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.29 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.29 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska 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· 2nd of 51
$25.70
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.