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 $4.37 Median $4.37 Typical High $16.22 | Facility | None | $4.37 | $4.37 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $4.37 Median $4.37 Typical High $5.01 | Professional | None | $4.37 | $4.37 | $5.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.14 Median $25.70 Typical High $52.48 | Facility | None | $15.14 | $25.70 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $14.13 | Professional | None | $5.62 | $6.03 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $10.47 Median $14.13 Typical High $33.88 | Facility | None | $10.47 | $14.13 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $7.08 | Professional | None | $2.82 | $3.72 | $7.08 |
Medcost Setting Facility Modifier None Typical Low $4.17 Median $5.89 Typical High $40.74 | Facility | None | $4.17 | $5.89 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $15.85 | Professional | None | $6.03 | $10.96 | $15.85 |
United Setting Facility Modifier None Typical Low $5.01 Median $5.01 Typical High $6.61 | Facility | None | $5.01 | $5.01 | $6.61 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.80 Typical High $7.76 | Professional | None | $2.34 | $3.80 | $7.76 |
3 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 $2.19 Median $2.19 Typical High $2.24 | Professional | 52 · Reduced service | $2.19 | $2.19 | $2.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.87 Median $0.87 Typical High $0.89 | Professional | 53 · Discontinued | $0.87 | $0.87 | $0.89 |
Ambetter Setting Professional Modifier FP · Family planning Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | FP · Family planning | $2.82 | $2.82 | $2.82 |
Where South Carolina sits
The same service costs 4.8 times more in Kansas 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· 11th of 51
$7.76
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.