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 $4.07 Median $4.07 Typical High $7.24 | Facility | None | $4.07 | $4.07 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $4.07 Median $4.07 Typical High $5.25 | Professional | None | $4.07 | $4.07 | $5.25 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Professional | None | $9.33 | $9.33 | $9.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.47 Median $19.05 Typical High $56.23 | Facility | None | $10.47 | $19.05 | $56.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.13 Median $12.88 Typical High $14.13 | Professional | None | $5.13 | $12.88 | $14.13 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $13.18 Typical High $31.62 | Facility | None | $9.77 | $13.18 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.39 Typical High $6.61 | Professional | None | $2.63 | $3.39 | $6.61 |
Medcost Setting Facility Modifier None Typical Low $3.89 Median $5.13 Typical High $8.51 | Facility | None | $3.89 | $5.13 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $18.20 | Professional | None | $6.03 | $10.00 | $18.20 |
United Setting Facility Modifier None Typical Low $4.68 Median $4.68 Typical High $6.17 | Facility | None | $4.68 | $4.68 | $6.17 |
United Setting Professional Modifier None Typical Low $2.19 Median $3.55 Typical High $7.24 | Professional | None | $2.19 | $3.55 | $7.24 |
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 $2.04 Median $2.04 Typical High $2.04 | Professional | 52 · Reduced service | $2.04 | $2.04 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.81 Median $0.81 Typical High $0.83 | Professional | 53 · Discontinued | $0.81 | $0.81 | $0.83 |
Where South Carolina sits
The same service costs 9.3 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· 3rd of 51
$12.88
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.