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 $61.66 Median $61.66 Typical High $61.66 | Facility | None | $61.66 | $61.66 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $63.10 | Professional | None | $61.66 | $61.66 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $104.71 Median $158.49 Typical High $281.84 | Facility | None | $104.71 | $158.49 | $281.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $54.95 Median $79.43 Typical High $100.00 | Professional | None | $54.95 | $79.43 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $147.91 Median $199.53 Typical High $489.78 | Facility | None | $147.91 | $199.53 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $35.48 Typical High $91.20 | Professional | None | $24.55 | $35.48 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $33.88 Median $64.57 Typical High $104.71 | Facility | None | $33.88 | $64.57 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $67.61 Typical High $72.44 | Professional | None | $43.65 | $67.61 | $72.44 |
United Setting Facility Modifier None Typical Low $70.79 Median $70.79 Typical High $93.33 | Facility | None | $70.79 | $70.79 | $93.33 |
United Setting Professional Modifier None Typical Low $26.92 Median $38.90 Typical High $81.28 | Professional | None | $26.92 | $38.90 | $81.28 |
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 $30.90 Median $30.90 Typical High $31.62 | Professional | 52 · Reduced service | $30.90 | $30.90 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | 53 · Discontinued | $12.30 | $12.30 | $12.59 |
Where South Carolina sits
The same service costs 4.9 times more in Alaska than in Kansas. 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· 19th of 51
$79.43
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.