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 $69.18 Median $69.18 Typical High $69.18 | Facility | None | $69.18 | $69.18 | $69.18 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $74.13 | Professional | None | $69.18 | $69.18 | $74.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $125.89 Median $177.83 Typical High $323.59 | Facility | None | $125.89 | $177.83 | $323.59 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $12.88 Typical High $426.58 | Facility | None | $5.75 | $12.88 | $426.58 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $46.77 Typical High $100.00 | Professional | None | $30.90 | $46.77 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $44.67 Median $75.86 Typical High $229.09 | Facility | None | $44.67 | $75.86 | $229.09 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $95.50 Typical High $95.50 | Professional | None | $54.95 | $95.50 | $95.50 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Facility | None | $707.95 | $870.96 | $1,122.02 |
United Setting Professional Modifier None Typical Low $33.11 Median $46.77 Typical High $112.20 | Professional | None | $33.11 | $46.77 | $112.20 |
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 $34.67 Median $34.67 Typical High $37.15 | Professional | 52 · Reduced service | $34.67 | $34.67 | $37.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | 53 · Discontinued | $13.80 | $13.80 | $14.79 |
Where South Carolina sits
The same service costs 10.2 times more in Alaska than in Hawaii. 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· 9th of 51
$117
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.