How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $10.72 Median $10.72 Typical High $10.72 | Facility | None | $10.72 | $10.72 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.96 | Professional | None | $10.72 | $10.72 | $10.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.49 Median $45.71 Typical High $72.44 | Facility | None | $15.49 | $45.71 | $72.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.49 Median $16.98 Typical High $30.20 | Professional | None | $13.49 | $16.98 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $25.70 Median $34.67 Typical High $83.18 | Facility | None | $25.70 | $34.67 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.76 Typical High $15.85 | Professional | None | $6.31 | $7.76 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $13.49 Typical High $19.95 | Facility | None | $10.00 | $13.49 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $16.22 Median $20.42 Typical High $21.88 | Professional | None | $16.22 | $20.42 | $21.88 |
United Setting Facility Modifier None Typical Low $12.30 Median $12.30 Typical High $16.22 | Facility | None | $12.30 | $12.30 | $16.22 |
United Setting Professional Modifier None Typical Low $5.75 Median $8.51 Typical High $16.98 | Professional | None | $5.75 | $8.51 | $16.98 |
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 $5.37 Median $5.37 Typical High $5.50 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.50 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.14 Median $2.14 Typical High $2.19 | Professional | 53 · Discontinued | $2.14 | $2.14 | $2.19 |
Where South Carolina sits
The same service costs 4.6 times more in Vermont than in New Jersey. 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· 10th of 51
$16.98
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.