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 $10.00 Median $12.88 Typical High $37.15 | Facility | None | $10.00 | $12.88 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $15.49 | Professional | None | $10.00 | $10.00 | $15.49 |
Ambetter Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $74.13 Typical High $151.36 | Facility | None | $40.74 | $74.13 | $151.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.88 Median $32.36 Typical High $38.90 | Professional | None | $12.88 | $32.36 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $79.43 | Facility | None | $24.55 | $38.02 | $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 $9.55 Median $13.49 Typical High $93.33 | Facility | None | $9.55 | $13.49 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $21.88 Typical High $23.99 | Professional | None | $14.13 | $21.88 | $23.99 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.49 | Facility | None | $11.48 | $11.48 | $15.49 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.71 Typical High $18.20 | Professional | None | $5.37 | $8.71 | $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 $5.01 Median $5.01 Typical High $5.13 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.04 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.04 |
Where South Carolina sits
The same service costs 13.5 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· 2nd of 51
$34.67
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.