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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $48.98 | Professional | None | $47.86 | $47.86 | $48.98 |
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 $15.85 Median $30.20 Typical High $60.26 | Professional | None | $15.85 | $30.20 | $60.26 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $125.89 Typical High $371.54 | Facility | None | $97.72 | $125.89 | $371.54 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $27.54 Typical High $63.10 | Professional | None | $7.41 | $27.54 | $63.10 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $47.86 Typical High $81.28 | Facility | None | $16.60 | $47.86 | $81.28 |
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 $54.95 Median $54.95 Typical High $72.44 | Facility | None | $54.95 | $54.95 | $72.44 |
United Setting Professional Modifier None Typical Low $8.71 Median $25.70 Typical High $51.29 | Professional | None | $8.71 | $25.70 | $51.29 |
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 $23.44 Median $23.44 Typical High $24.55 | Professional | 52 · Reduced service | $23.44 | $23.44 | $24.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.55 Median $9.55 Typical High $9.77 | Professional | 53 · Discontinued | $9.55 | $9.55 | $9.77 |
Where South Carolina sits
The same service costs 9.1 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· 40th of 51
$31.62
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.