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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | None | $11.48 | $11.48 | $11.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $57.54 Median $97.72 Typical High $194.98 | Facility | None | $57.54 | $97.72 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.79 Median $37.15 Typical High $51.29 | Professional | None | $14.79 | $37.15 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $91.20 | Facility | None | $28.18 | $44.67 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.55 Typical High $18.62 | Professional | None | $7.59 | $9.55 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $14.79 Typical High $24.55 | Facility | None | $11.22 | $14.79 | $24.55 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $25.12 Typical High $26.92 | Professional | None | $15.85 | $25.12 | $26.92 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $17.78 | Facility | None | $13.18 | $13.18 | $17.78 |
United Setting Professional Modifier None Typical Low $6.17 Median $10.00 Typical High $20.89 | Professional | None | $6.17 | $10.00 | $20.89 |
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 $5.75 Median $5.75 Typical High $5.89 | Professional | 52 · Reduced service | $5.75 | $5.75 | $5.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.29 Median $2.29 Typical High $2.34 | Professional | 53 · Discontinued | $2.29 | $2.29 | $2.34 |
Where South Carolina sits
The same service costs 4.0 times more in Kansas 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· 2nd of 51
$37.15
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.