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 $26.30 Median $26.30 Typical High $53.70 | Facility | None | $26.30 | $26.30 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $32.36 | Professional | None | $26.30 | $26.30 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $27.54 Median $56.23 Typical High $147.91 | Facility | None | $27.54 | $56.23 | $147.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $33.88 Typical High $54.95 | Professional | None | $30.20 | $33.88 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $64.57 Median $85.11 Typical High $208.93 | Facility | None | $64.57 | $85.11 | $208.93 |
Cigna Setting Professional Modifier None Typical Low $16.98 Median $22.39 Typical High $42.66 | Professional | None | $16.98 | $22.39 | $42.66 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $33.11 Typical High $158.49 | Facility | None | $23.44 | $33.11 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $37.15 Typical High $39.81 | Professional | None | $31.62 | $37.15 | $39.81 |
United Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $40.74 | Facility | None | $30.20 | $30.20 | $40.74 |
United Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $40.74 | Professional | None | $14.13 | $20.42 | $40.74 |
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 $13.18 Median $13.18 Typical High $13.49 | Professional | 52 · Reduced service | $13.18 | $13.18 | $13.49 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.25 Median $5.25 Typical High $5.37 | Professional | 53 · Discontinued | $5.25 | $5.25 | $5.37 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska 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· 24th of 51
$33.88
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.