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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.50 | Professional | None | $19.05 | $19.05 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $52.48 Typical High $93.33 | Facility | None | $34.67 | $52.48 | $93.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $41.69 | Professional | None | $24.55 | $33.11 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $61.66 Typical High $151.36 | Facility | None | $46.77 | $61.66 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $11.22 Typical High $28.18 | Professional | None | $8.13 | $11.22 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $20.89 Typical High $32.36 | Facility | None | $12.59 | $20.89 | $32.36 |
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 $21.88 Median $21.88 Typical High $29.51 | Facility | None | $21.88 | $21.88 | $29.51 |
United Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $27.54 | Professional | None | $8.91 | $12.88 | $27.54 |
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 $9.55 Median $9.55 Typical High $9.77 | Professional | 52 · Reduced service | $9.55 | $9.55 | $9.77 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.89 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in New York. 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
$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.