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 $25.70 Median $25.70 Typical High $33.11 | Facility | None | $25.70 | $25.70 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $29.51 | Professional | None | $25.70 | $25.70 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $154.88 | Facility | None | $57.54 | $87.10 | $154.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $56.23 | Professional | None | $50.12 | $50.12 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $3.24 Typical High $162.18 | Facility | None | $2.04 | $3.24 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $17.78 Typical High $38.02 | Professional | None | $9.77 | $17.78 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $28.18 Typical High $120.23 | Facility | None | $16.98 | $28.18 | $120.23 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $36.31 Typical High $36.31 | Professional | None | $14.79 | $36.31 | $36.31 |
Molina Setting Professional Modifier None Typical Low $41.69 Median $41.69 Typical High $52.48 | Professional | None | $41.69 | $41.69 | $52.48 |
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 $10.23 Median $16.22 Typical High $33.11 | Professional | None | $10.23 | $16.22 | $33.11 |
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 $12.88 Median $12.88 Typical High $14.13 | Professional | 52 · Reduced service | $12.88 | $12.88 | $14.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.62 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.62 |
Where South Carolina sits
The same service costs 8.5 times more in Alaska 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· 5th of 51
$50.12
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.