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 $10.47 Median $10.47 Typical High $10.47 | Facility | None | $10.47 | $10.47 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $10.47 Median $10.47 Typical High $10.72 | Professional | None | $10.47 | $10.47 | $10.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.70 Median $70.79 Typical High $77.62 | Facility | None | $25.70 | $70.79 | $77.62 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.49 Median $16.60 Typical High $30.20 | Professional | None | $13.49 | $16.60 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $33.88 Typical High $81.28 | Facility | None | $25.12 | $33.88 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $6.17 Median $7.76 Typical High $15.49 | Professional | None | $6.17 | $7.76 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $13.49 Typical High $19.95 | Facility | None | $9.33 | $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 $12.02 Median $12.02 Typical High $16.22 | Facility | None | $12.02 | $12.02 | $16.22 |
United Setting Professional Modifier None Typical Low $5.62 Median $8.51 Typical High $16.60 | Professional | None | $5.62 | $8.51 | $16.60 |
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 $5.25 Median $5.25 Typical High $5.37 | Professional | 52 · Reduced service | $5.25 | $5.25 | $5.37 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.09 Median $2.09 Typical High $2.14 | Professional | 53 · Discontinued | $2.09 | $2.09 | $2.14 |
Where South Carolina sits
The same service costs 4.1 times more in Kansas 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· 12th of 51
$16.60
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.