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 $10.72 Median $10.72 Typical High $39.81 | Facility | None | $10.72 | $10.72 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $16.60 | Professional | None | $10.72 | $10.72 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $43.65 Median $74.13 Typical High $162.18 | Facility | None | $43.65 | $74.13 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $18.20 Typical High $34.67 | Professional | None | $13.80 | $18.20 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $83.18 | Facility | None | $25.70 | $34.67 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.91 Typical High $16.98 | Professional | None | $6.92 | $8.91 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $10.23 Median $14.45 Typical High $100.00 | Facility | None | $10.23 | $14.45 | $100.00 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $23.44 Typical High $25.12 | Professional | None | $12.88 | $23.44 | $25.12 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $16.60 | Facility | None | $12.30 | $12.30 | $16.60 |
United Setting Professional Modifier None Typical Low $5.75 Median $9.33 Typical High $19.05 | Professional | None | $5.75 | $9.33 | $19.05 |
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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska 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· 5th of 51
$22.39
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.