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 $8.71 Median $10.96 Typical High $32.36 | Facility | None | $8.71 | $10.96 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $8.71 Typical High $11.22 | Professional | None | $8.71 | $8.71 | $11.22 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $12.30 Typical High $20.89 | Professional | None | $11.22 | $12.30 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $67.61 Typical High $151.36 | Facility | None | $38.02 | $67.61 | $151.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $21.88 | Professional | None | $11.22 | $19.05 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $28.84 Typical High $69.18 | Facility | None | $21.38 | $28.84 | $69.18 |
Cigna Setting Professional Modifier None Typical Low $5.75 Median $7.24 Typical High $14.45 | Professional | None | $5.75 | $7.24 | $14.45 |
Medcost Setting Facility Modifier None Typical Low $7.94 Median $11.75 Typical High $61.66 | Facility | None | $7.94 | $11.75 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $12.02 Median $14.13 Typical High $15.85 | Professional | None | $12.02 | $14.13 | $15.85 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $13.49 | Facility | None | $10.23 | $10.23 | $13.49 |
United Setting Professional Modifier None Typical Low $4.68 Median $6.76 Typical High $13.49 | Professional | None | $4.68 | $6.76 | $13.49 |
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 $4.37 Median $4.37 Typical High $4.47 | Professional | 52 · Reduced service | $4.37 | $4.37 | $4.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.78 Median $1.78 Typical High $1.82 | Professional | 53 · Discontinued | $1.78 | $1.78 | $1.82 |
Where South Carolina sits
The same service costs 11.7 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· 6th of 51
$19.05
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.