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 $30.20 Median $30.20 Typical High $38.02 | Facility | None | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $33.88 | Professional | None | $30.20 | $30.20 | $33.88 |
Ambetter Setting Professional Modifier None Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | None | $52.48 | $52.48 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $162.18 | Facility | None | $57.54 | $87.10 | $162.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $37.15 | Professional | None | $25.12 | $25.12 | $37.15 |
Cigna Setting Facility Modifier None Typical Low $2.51 Median $5.62 Typical High $186.21 | Facility | None | $2.51 | $5.62 | $186.21 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $20.42 Typical High $43.65 | Professional | None | $13.49 | $20.42 | $43.65 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $33.11 Typical High $120.23 | Facility | None | $20.89 | $33.11 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $26.30 Typical High $27.54 | Professional | None | $7.08 | $26.30 | $27.54 |
Molina Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $11.48 | Professional | None | $10.96 | $10.96 | $11.48 |
United Setting Facility Modifier None Typical Low $1,513.56 Median $1,819.70 Typical High $2,398.83 | Facility | None | $1,513.56 | $1,819.70 | $2,398.83 |
United Setting Professional Modifier None Typical Low $12.59 Median $19.95 Typical High $38.90 | Professional | None | $12.59 | $19.95 | $38.90 |
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 $15.14 Median $15.14 Typical High $16.22 | Professional | 52 · Reduced service | $15.14 | $15.14 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.03 Median $6.03 Typical High $6.46 | Professional | 53 · Discontinued | $6.03 | $6.03 | $6.46 |
Where South Carolina sits
The same service costs 10.0 times more in Texas than in Arizona. 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· 25th of 51
$31.62
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.