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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $15.85 | Professional | None | $15.49 | $15.49 | $15.85 |
BCBS South Carolina Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $186.21 | Facility | None | $53.70 | $91.20 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $41.69 | Professional | None | $19.95 | $19.95 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $123.03 | Facility | None | $37.15 | $50.12 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $10.00 Median $12.88 Typical High $25.12 | Professional | None | $10.00 | $12.88 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $14.13 Median $19.95 Typical High $27.54 | Facility | None | $14.13 | $19.95 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $26.30 Typical High $30.90 | Professional | None | $21.88 | $26.30 | $30.90 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Facility | None | $17.78 | $17.78 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $11.75 Typical High $23.44 | Professional | None | $8.32 | $11.75 | $23.44 |
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 $7.76 Median $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.16 |
Where South Carolina sits
The same service costs 4.5 times more in Kansas 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· 11th of 51
$26.30
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.