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 $10.23 Median $12.88 Typical High $37.15 | Facility | None | $10.23 | $12.88 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $15.49 | Professional | None | $10.23 | $10.23 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.30 | Professional | None | $12.30 | $12.30 | $12.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.12 Median $39.81 Typical High $100.00 | Facility | None | $25.12 | $39.81 | $100.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.18 Median $33.11 Typical High $33.88 | Professional | None | $13.18 | $33.11 | $33.88 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $33.11 Typical High $79.43 | Facility | None | $24.55 | $33.11 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $16.60 | Professional | None | $6.61 | $8.51 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $9.77 Median $13.80 Typical High $95.50 | Facility | None | $9.77 | $13.80 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $26.92 | Professional | None | $14.13 | $23.99 | $26.92 |
United Setting Facility Modifier None Typical Low $11.75 Median $11.75 Typical High $15.49 | Facility | None | $11.75 | $11.75 | $15.49 |
United Setting Professional Modifier None Typical Low $5.50 Median $8.91 Typical High $18.20 | Professional | None | $5.50 | $8.91 | $18.20 |
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 $5.13 Median $5.13 Typical High $5.25 | Professional | 52 · Reduced service | $5.13 | $5.13 | $5.25 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.04 Median $2.04 Typical High $2.09 | Professional | 53 · Discontinued | $2.04 | $2.04 | $2.09 |
Where South Carolina sits
The same service costs 10.2 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· 4th of 51
$29.51
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.