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 $8.13 Median $10.00 Typical High $20.89 | Facility | None | $8.13 | $10.00 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $12.30 | Professional | None | $8.13 | $8.13 | $12.30 |
Ambetter Setting Professional Modifier None Typical Low $5.13 Median $16.22 Typical High $19.05 | Professional | None | $5.13 | $16.22 | $19.05 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $48.98 Typical High $102.33 | Facility | None | $28.18 | $48.98 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.23 Median $10.96 Typical High $25.12 | Professional | None | $10.23 | $10.96 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $30.90 Typical High $64.57 | Facility | None | $19.50 | $30.90 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $5.25 Median $6.76 Typical High $13.18 | Professional | None | $5.25 | $6.76 | $13.18 |
Medcost Setting Facility Modifier None Typical Low $7.76 Median $10.96 Typical High $72.44 | Facility | None | $7.76 | $10.96 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $18.20 | Professional | None | $10.00 | $16.60 | $18.20 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $12.30 | Facility | None | $9.33 | $9.33 | $12.30 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $13.80 | Professional | None | $4.37 | $6.76 | $13.80 |
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 $4.07 Median $4.07 Typical High $4.17 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.66 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.66 |
Where South Carolina sits
The same service costs 12.6 times more in Vermont than in Maryland. 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· 11th of 51
$14.45
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.