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 $15.49 Median $15.49 Typical High $15.49 | Facility | None | $15.49 | $15.49 | $15.49 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $16.22 | Professional | None | $15.49 | $15.49 | $16.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $114.82 Typical High $190.55 | Facility | None | $67.61 | $114.82 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $21.88 Typical High $28.18 | Professional | None | $19.95 | $21.88 | $28.18 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $123.03 | Facility | None | $38.02 | $51.29 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $29.51 | Professional | None | $10.23 | $12.88 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $20.89 Typical High $57.54 | Facility | None | $15.49 | $20.89 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $37.15 Typical High $41.69 | Professional | None | $23.99 | $37.15 | $41.69 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $23.99 | Facility | None | $18.20 | $18.20 | $23.99 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $23.99 | Professional | None | $8.51 | $13.80 | $23.99 |
3 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 $7.76 Median $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $22.39 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $22.39 |
Where South Carolina sits
The same service costs 5.5 times more in Texas than in Alabama. 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· 24th of 51
$21.88
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.