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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $66.07 | Professional | None | $64.57 | $64.57 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $177.83 Typical High $457.09 | Facility | None | $102.33 | $177.83 | $457.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $81.28 Median $104.71 Typical High $151.36 | Professional | None | $81.28 | $104.71 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $154.88 Median $208.93 Typical High $501.19 | Facility | None | $154.88 | $208.93 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $37.15 Median $47.86 Typical High $93.33 | Professional | None | $37.15 | $47.86 | $93.33 |
Medcost Setting Facility Modifier None Typical Low $57.54 Median $81.28 Typical High $114.82 | Facility | None | $57.54 | $81.28 | $114.82 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $97.72 | Professional | None | $95.50 | $95.50 | $97.72 |
United Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Facility | None | $74.13 | $74.13 | $97.72 |
United Setting Professional Modifier None Typical Low $34.67 Median $48.98 Typical High $97.72 | Professional | None | $34.67 | $48.98 | $97.72 |
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 $31.62 Median $31.62 Typical High $33.11 | Professional | 52 · Reduced service | $31.62 | $31.62 | $33.11 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.88 Median $12.88 Typical High $13.18 | Professional | 53 · Discontinued | $12.88 | $12.88 | $13.18 |
Where South Carolina sits
The same service costs 4.9 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· 18th of 51
$85.11
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.