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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.49 | Professional | None | $15.14 | $15.14 | $15.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $54.95 Median $109.65 Typical High $223.87 | Facility | None | $54.95 | $109.65 | $223.87 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.98 Median $19.50 Typical High $48.98 | Professional | None | $16.98 | $19.50 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $120.23 | Facility | None | $37.15 | $50.12 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $12.88 Typical High $24.55 | Professional | None | $9.77 | $12.88 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $19.50 Typical High $32.36 | Facility | None | $14.79 | $19.50 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $36.31 Typical High $46.77 | Professional | None | $18.20 | $36.31 | $46.77 |
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 $8.13 Median $13.18 Typical High $27.54 | Professional | None | $8.13 | $13.18 | $27.54 |
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 $7.59 Median $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.02 Median $3.02 Typical High $3.16 | Professional | 53 · Discontinued | $3.02 | $3.02 | $3.16 |
Where South Carolina sits
The same service costs 4.4 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· 12th of 51
$24.55
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.