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 $4.17 Median $4.17 Typical High $11.22 | Facility | None | $4.17 | $4.17 | $11.22 |
Aetna Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.37 | Professional | None | $4.17 | $4.17 | $5.37 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.13 Median $25.12 Typical High $50.12 | Facility | None | $14.13 | $25.12 | $50.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.37 Median $7.94 Typical High $14.13 | Professional | None | $5.37 | $7.94 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.23 Median $16.22 Typical High $33.88 | Facility | None | $10.23 | $16.22 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.55 Typical High $6.76 | Professional | None | $2.82 | $3.55 | $6.76 |
Medcost Setting Facility Modifier None Typical Low $4.07 Median $5.62 Typical High $38.90 | Facility | None | $4.07 | $5.62 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $7.76 Median $10.00 Typical High $19.05 | Professional | None | $7.76 | $10.00 | $19.05 |
United Setting Facility Modifier None Typical Low $245.47 Median $302.00 Typical High $389.05 | Facility | None | $245.47 | $302.00 | $389.05 |
United Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $7.59 | Professional | None | $2.24 | $3.80 | $7.59 |
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 $2.09 Median $2.09 Typical High $2.14 | Professional | 52 · Reduced service | $2.09 | $2.09 | $2.14 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.83 Median $0.83 Typical High $0.85 | Professional | 53 · Discontinued | $0.83 | $0.83 | $0.85 |
Where South Carolina sits
The same service costs 11.2 times more in Vermont than in Maryland. 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· 6th of 51
$9.77
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.