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 $5.25 Median $5.25 Typical High $8.32 | Facility | None | $5.25 | $5.25 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $5.25 Median $5.25 Typical High $6.03 | Professional | None | $5.25 | $5.25 | $6.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $16.98 Median $32.36 Typical High $64.57 | Facility | None | $16.98 | $32.36 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.61 Median $7.08 Typical High $16.98 | Professional | None | $6.61 | $7.08 | $16.98 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $19.95 Typical High $41.69 | Facility | None | $12.59 | $19.95 | $41.69 |
Cigna Setting Professional Modifier None Typical Low $3.47 Median $4.37 Typical High $8.71 | Professional | None | $3.47 | $4.37 | $8.71 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $6.61 Typical High $10.96 | Facility | None | $5.01 | $6.61 | $10.96 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $12.88 Typical High $23.44 | Professional | None | $7.08 | $12.88 | $23.44 |
United Setting Facility Modifier None Typical Low $6.03 Median $6.03 Typical High $7.94 | Facility | None | $6.03 | $6.03 | $7.94 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.57 Typical High $9.33 | Professional | None | $2.82 | $4.57 | $9.33 |
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 $2.63 Median $2.63 Typical High $2.69 | Professional | 52 · Reduced service | $2.63 | $2.63 | $2.69 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.05 Median $1.05 Typical High $1.07 | Professional | 53 · Discontinued | $1.05 | $1.05 | $1.07 |
Where South Carolina sits
The same service costs 11.0 times more in Vermont than in Kentucky. 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
$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.