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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.88 | Professional | None | $20.89 | $20.89 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.88 Median $39.81 Typical High $79.43 | Facility | None | $21.88 | $39.81 | $79.43 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $21.88 Typical High $26.92 | Professional | None | $7.94 | $21.88 | $26.92 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $56.23 Typical High $165.96 | Facility | None | $51.29 | $56.23 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $12.30 Typical High $31.62 | Professional | None | $5.37 | $12.30 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $20.89 Typical High $35.48 | Facility | None | $8.32 | $20.89 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $15.85 Typical High $22.91 | Professional | None | $10.00 | $15.85 | $22.91 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
United Setting Professional Modifier None Typical Low $5.89 Median $12.02 Typical High $26.92 | Professional | None | $5.89 | $12.02 | $26.92 |
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 $10.47 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.37 |
Where South Carolina sits
The same service costs 5.8 times more in Alaska than in Alabama. 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· 20th of 51
$21.88
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.