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 $6.31 Median $6.31 Typical High $12.88 | Facility | None | $6.31 | $6.31 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.76 | Professional | None | $6.31 | $6.31 | $7.76 |
Ambetter Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | None | $14.79 | $14.79 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $29.51 Median $46.77 Typical High $102.33 | Facility | None | $29.51 | $46.77 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $8.13 Typical High $19.95 | Professional | None | $7.94 | $8.13 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $23.99 Typical High $50.12 | Facility | None | $15.14 | $23.99 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.25 Typical High $10.47 | Professional | None | $4.07 | $5.25 | $10.47 |
Medcost Setting Facility Modifier None Typical Low $6.03 Median $8.51 Typical High $58.88 | Facility | None | $6.03 | $8.51 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $15.14 Typical High $19.05 | Professional | None | $8.91 | $15.14 | $19.05 |
United Setting Facility Modifier None Typical Low $7.24 Median $7.24 Typical High $9.77 | Facility | None | $7.24 | $7.24 | $9.77 |
United Setting Professional Modifier None Typical Low $3.39 Median $5.75 Typical High $11.22 | Professional | None | $3.39 | $5.75 | $11.22 |
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 $3.16 Median $3.16 Typical High $3.24 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.29 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.29 |
Where South Carolina sits
The same service costs 5.6 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· 12th of 51
$11.22
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.