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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.02 | Professional | None | $11.75 | $11.75 | $12.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $52.48 Typical High $95.50 | Facility | None | $34.67 | $52.48 | $95.50 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $33.11 Typical High $41.69 | Professional | None | $15.14 | $33.11 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $91.20 | Facility | None | $28.18 | $38.02 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $6.92 Median $8.71 Typical High $16.98 | Professional | None | $6.92 | $8.71 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $15.14 Typical High $21.88 | Facility | None | $10.96 | $15.14 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $22.39 Typical High $23.99 | Professional | None | $15.14 | $22.39 | $23.99 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $18.20 | Facility | None | $13.49 | $13.49 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $8.91 Typical High $18.62 | Professional | None | $6.31 | $8.91 | $18.62 |
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 $5.89 Median $5.89 Typical High $6.03 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.40 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.40 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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
$33.11
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.