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 $2.34 Median $2.88 Typical High $6.31 | Facility | None | $2.34 | $2.88 | $6.31 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $3.55 | Professional | None | $2.34 | $2.34 | $3.55 |
Ambetter Setting Professional Modifier None Typical Low $4.17 Median $4.17 Typical High $5.50 | Professional | None | $4.17 | $4.17 | $5.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $11.22 Median $22.91 Typical High $48.98 | Facility | None | $11.22 | $22.91 | $48.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.02 Median $6.03 Typical High $14.13 | Professional | None | $3.02 | $6.03 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $5.62 Median $8.91 Typical High $17.78 | Facility | None | $5.62 | $8.91 | $17.78 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $2.29 Typical High $3.89 | Professional | None | $1.48 | $2.29 | $3.89 |
Medcost Setting Facility Modifier None Typical Low $2.24 Median $3.16 Typical High $21.88 | Facility | None | $2.24 | $3.16 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $5.13 Typical High $8.91 | Professional | None | $3.02 | $5.13 | $8.91 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $1.26 Median $2.09 Typical High $5.37 | Professional | None | $1.26 | $2.09 | $5.37 |
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 $1.17 Median $1.17 Typical High $1.20 | Professional | 52 · Reduced service | $1.17 | $1.17 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.47 Typical High $0.48 | Professional | 53 · Discontinued | $0.47 | $0.47 | $0.48 |
Where South Carolina sits
The same service costs 28.2 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· 9th of 51
$6.92
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.