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 $3.31 Median $3.31 Typical High $8.91 | Facility | None | $3.31 | $3.31 | $8.91 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $3.31 Typical High $5.89 | Professional | None | $3.31 | $3.31 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $6.17 Typical High $6.76 | Professional | None | $2.14 | $6.17 | $6.76 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.18 Median $23.44 Typical High $51.29 | Facility | None | $13.18 | $23.44 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4.27 Median $5.01 Typical High $10.96 | Professional | None | $4.27 | $5.01 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $12.88 Typical High $25.70 | Facility | None | $8.13 | $12.88 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.69 Typical High $5.62 | Professional | None | $2.14 | $2.69 | $5.62 |
Medcost Setting Facility Modifier None Typical Low $3.24 Median $4.27 Typical High $7.08 | Facility | None | $3.24 | $4.27 | $7.08 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $14.13 | Professional | None | $5.01 | $7.94 | $14.13 |
United Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $5.13 | Facility | None | $3.80 | $3.80 | $5.13 |
United Setting Professional Modifier None Typical Low $2.57 Median $4.17 Typical High $6.03 | Professional | None | $2.57 | $4.17 | $6.03 |
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 $1.66 Median $1.66 Typical High $1.70 | Professional | 52 · Reduced service | $1.66 | $1.66 | $1.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.68 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.68 |
Where South Carolina sits
The same service costs 3.2 times more in Kansas 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· 6th of 51
$6.76
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.