How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $51.29 | Professional | None | $50.12 | $50.12 | $51.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $354.81 | Facility | None | $102.33 | $177.83 | $354.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $60.26 Median $64.57 Typical High $89.13 | Professional | None | $60.26 | $64.57 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $120.23 Median $162.18 Typical High $398.11 | Facility | None | $120.23 | $162.18 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $29.51 Typical High $74.13 | Professional | None | $24.55 | $29.51 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $57.54 Typical High $85.11 | Facility | None | $44.67 | $57.54 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | None | $54.95 | $54.95 | $77.62 |
United Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
United Setting Professional Modifier None Typical Low $26.92 Median $35.48 Typical High $77.62 | Professional | None | $26.92 | $35.48 | $77.62 |
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 $25.12 Median $25.12 Typical High $25.70 | Professional | 52 · Reduced service | $25.12 | $25.12 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.00 Median $10.00 Typical High $10.23 | Professional | 53 · Discontinued | $10.00 | $10.00 | $10.23 |
Where South Carolina sits
The same service costs 6.0 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· 22nd of 51
$60.26
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.