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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $29.51 | Professional | None | $28.84 | $28.84 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $125.89 Median $208.93 Typical High $398.11 | Facility | None | $125.89 | $208.93 | $398.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $100.00 Typical High $141.25 | Professional | None | $36.31 | $100.00 | $141.25 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $93.33 Typical High $223.87 | Facility | None | $69.18 | $93.33 | $223.87 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $35.48 Typical High $52.48 | Professional | None | $18.62 | $35.48 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $38.90 Typical High $93.33 | Facility | None | $27.54 | $38.90 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $102.33 Typical High $114.82 | Professional | None | $61.66 | $102.33 | $114.82 |
United Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
United Setting Professional Modifier None Typical Low $15.49 Median $33.11 Typical High $67.61 | Professional | None | $15.49 | $33.11 | $67.61 |
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 $14.13 Median $14.13 Typical High $14.79 | Professional | 52 · Reduced service | $14.13 | $14.13 | $14.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.75 Median $5.75 Typical High $5.89 | Professional | 53 · Discontinued | $5.75 | $5.75 | $5.89 |
Where South Carolina sits
The same service costs 10.2 times more in Kansas 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· 2nd of 51
$100
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.