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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $12.59 Typical High $12.88 | Professional | None | $11.22 | $12.59 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $46.77 Typical High $85.11 | Facility | None | $31.62 | $46.77 | $85.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $23.99 Typical High $30.20 | Professional | None | $16.22 | $23.99 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $40.74 Typical High $100.00 | Facility | None | $30.20 | $40.74 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $7.76 Typical High $18.62 | Professional | None | $7.41 | $7.76 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $16.22 Typical High $21.38 | Facility | None | $11.22 | $16.22 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $21.88 | Professional | None | $12.88 | $20.42 | $21.88 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $19.50 | Facility | None | $14.45 | $14.45 | $19.50 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $19.50 | Professional | None | $6.76 | $9.55 | $19.50 |
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 $6.31 Median $6.31 Typical High $6.46 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.57 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.57 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 4th of 51
$23.99
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.