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 $13.18 Median $13.18 Typical High $48.98 | Facility | None | $13.18 | $13.18 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $14.79 | Professional | None | $13.18 | $13.18 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $60.26 Median $104.71 Typical High $199.53 | Facility | None | $60.26 | $104.71 | $199.53 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $23.99 Typical High $33.11 | Professional | None | $16.98 | $23.99 | $33.11 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $42.66 Typical High $104.71 | Facility | None | $31.62 | $42.66 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $7.76 Median $9.77 Typical High $19.50 | Professional | None | $7.76 | $9.77 | $19.50 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $16.98 Typical High $23.99 | Facility | None | $11.75 | $16.98 | $23.99 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $20.42 | Facility | None | $15.14 | $15.14 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.23 Typical High $20.42 | Professional | None | $7.08 | $10.23 | $20.42 |
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 $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Georgia. 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· 9th of 51
$23.99
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.