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 $9.12 Median $9.12 Typical High $18.62 | Facility | None | $9.12 | $9.12 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $9.12 Typical High $11.22 | Professional | None | $8.32 | $9.12 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $12.88 | Professional | None | $12.88 | $12.88 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.92 Median $57.54 Typical High $120.23 | Facility | None | $26.92 | $57.54 | $120.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.00 Median $11.75 Typical High $30.20 | Professional | None | $10.00 | $11.75 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $35.48 Typical High $72.44 | Facility | None | $22.39 | $35.48 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.59 Typical High $15.14 | Professional | None | $5.89 | $7.59 | $15.14 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $12.30 Typical High $85.11 | Facility | None | $8.91 | $12.30 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $21.88 | Professional | None | $12.88 | $19.95 | $21.88 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $14.13 | Facility | None | $10.47 | $10.47 | $14.13 |
United Setting Professional Modifier None Typical Low $4.90 Median $8.32 Typical High $16.60 | Professional | None | $4.90 | $8.32 | $16.60 |
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 $4.57 Median $4.57 Typical High $4.68 | Professional | 52 · Reduced service | $4.57 | $4.57 | $4.68 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.86 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.86 |
Where South Carolina sits
The same service costs 4.5 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· 13th of 51
$15.14
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.