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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $17.38 | Professional | None | $16.98 | $16.98 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $47.86 Median $72.44 Typical High $134.90 | Facility | None | $47.86 | $72.44 | $134.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $39.81 | Professional | None | $21.88 | $28.18 | $39.81 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $56.23 Typical High $134.90 | Facility | None | $41.69 | $56.23 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.18 Typical High $33.88 | Professional | None | $10.23 | $13.18 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $63.10 | Facility | None | $16.98 | $22.91 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $37.15 Typical High $41.69 | Professional | None | $26.30 | $37.15 | $41.69 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.30 | Facility | None | $19.95 | $19.95 | $26.30 |
United Setting Professional Modifier None Typical Low $9.12 Median $13.80 Typical High $26.30 | Professional | None | $9.12 | $13.80 | $26.30 |
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 $8.51 Median $8.51 Typical High $8.71 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.39 Median $3.39 Typical High $3.55 | Professional | 53 · Discontinued | $3.39 | $3.39 | $3.55 |
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 4.7 times more in Alaska 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· 14th 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.