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 $9.77 Median $9.77 Typical High $9.77 | Facility | None | $9.77 | $9.77 | $9.77 |
Aetna Setting Professional Modifier None Typical Low $9.77 Median $9.77 Typical High $10.23 | Professional | None | $9.77 | $9.77 | $10.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $47.86 Typical High $83.18 | Facility | None | $31.62 | $47.86 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.59 Median $28.18 Typical High $30.20 | Professional | None | $12.59 | $28.18 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $32.36 Typical High $77.62 | Facility | None | $23.99 | $32.36 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $7.76 Typical High $15.14 | Professional | None | $6.03 | $7.76 | $15.14 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $12.59 Typical High $19.95 | Facility | None | $9.55 | $12.59 | $19.95 |
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 $11.48 Median $11.48 Typical High $15.14 | Facility | None | $11.48 | $11.48 | $15.14 |
United Setting Professional Modifier None Typical Low $5.37 Median $8.51 Typical High $16.60 | Professional | None | $5.37 | $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 $4.90 Median $4.90 Typical High $5.13 | Professional | 52 · Reduced service | $4.90 | $4.90 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.95 Median $1.95 Typical High $2.04 | Professional | 53 · Discontinued | $1.95 | $1.95 | $2.04 |
Where South Carolina sits
The same service costs 3.9 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· 3rd of 51
$28.18
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.