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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.99 | Professional | None | $23.44 | $23.44 | $23.99 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $114.82 Typical High $204.17 | Facility | None | $75.86 | $114.82 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $32.36 | Professional | None | $29.51 | $29.51 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $75.86 Typical High $181.97 | Facility | None | $56.23 | $75.86 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $13.80 Typical High $36.31 | Professional | None | $12.59 | $13.80 | $36.31 |
Medcost Setting Facility Modifier None Typical Low $23.44 Median $28.18 Typical High $85.11 | Facility | None | $23.44 | $28.18 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $43.65 | Professional | None | $28.84 | $37.15 | $43.65 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $35.48 | Facility | None | $26.92 | $26.92 | $35.48 |
United Setting Professional Modifier None Typical Low $12.59 Median $17.38 Typical High $29.51 | Professional | None | $12.59 | $17.38 | $29.51 |
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 $11.75 Median $11.75 Typical High $12.02 | Professional | 52 · Reduced service | $11.75 | $11.75 | $12.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.68 Median $4.68 Typical High $4.79 | Professional | 53 · Discontinued | $4.68 | $4.68 | $4.79 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $27.54 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $27.54 |
Where South Carolina sits
The same service costs 5.4 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
$29.51
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.