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 $12.30 Median $12.30 Typical High $12.30 | Facility | None | $12.30 | $12.30 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $12.30 Median $12.30 Typical High $12.59 | Professional | None | $12.30 | $12.30 | $12.59 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $54.95 Typical High $95.50 | Facility | None | $31.62 | $54.95 | $95.50 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.49 Median $30.20 Typical High $36.31 | Professional | None | $15.49 | $30.20 | $36.31 |
Cigna Setting Facility Modifier None Typical Low $29.51 Median $39.81 Typical High $95.50 | Facility | None | $29.51 | $39.81 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $7.76 Typical High $17.78 | Professional | None | $7.08 | $7.76 | $17.78 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $16.22 Typical High $87.10 | Facility | None | $10.96 | $16.22 | $87.10 |
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 $14.13 Median $14.13 Typical High $18.62 | Facility | None | $14.13 | $14.13 | $18.62 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.33 Typical High $18.62 | Professional | None | $6.61 | $9.33 | $18.62 |
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 $6.03 Median $6.03 Typical High $6.31 | Professional | 52 · Reduced service | $6.03 | $6.03 | $6.31 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.45 Median $2.45 Typical High $2.51 | Professional | 53 · Discontinued | $2.45 | $2.45 | $2.51 |
Where South Carolina sits
The same service costs 3.6 times more in Kansas than in Nebraska. 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· 3rd of 51
$30.20
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.