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 $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $85.11 | Professional | None | $83.18 | $83.18 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $239.88 Median $436.52 Typical High $912.01 | Facility | None | $239.88 | $436.52 | $912.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $162.18 | Professional | None | $89.13 | $107.15 | $162.18 |
Cigna Setting Facility Modifier None Typical Low $199.53 Median $269.15 Typical High $660.69 | Facility | None | $199.53 | $269.15 | $660.69 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $123.03 | Professional | None | $39.81 | $48.98 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $95.50 Typical High $141.25 | Facility | None | $61.66 | $95.50 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $117.49 Typical High $229.09 | Professional | None | $70.79 | $117.49 | $229.09 |
United Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $128.82 | Facility | None | $95.50 | $95.50 | $128.82 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $128.82 | Professional | None | $44.67 | $63.10 | $128.82 |
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 $41.69 Median $41.69 Typical High $42.66 | Professional | 52 · Reduced service | $41.69 | $41.69 | $42.66 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $16.60 Median $16.60 Typical High $16.98 | Professional | 53 · Discontinued | $16.60 | $16.60 | $16.98 |
Where South Carolina sits
The same service costs 6.2 times more in Alaska than in Alabama. 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· 17th of 51
$110
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.