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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $21.38 | Professional | None | $20.89 | $20.89 | $21.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $47.86 Median $70.79 Typical High $134.90 | Facility | None | $47.86 | $70.79 | $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 $51.29 Median $67.61 Typical High $165.96 | Facility | None | $51.29 | $67.61 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $12.30 Median $13.18 Typical High $32.36 | Professional | None | $12.30 | $13.18 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $77.62 | Facility | None | $20.89 | $28.18 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $37.15 Typical High $41.69 | Professional | None | $28.84 | $37.15 | $41.69 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Facility | None | $23.99 | $23.99 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $16.22 Typical High $28.18 | Professional | None | $11.22 | $16.22 | $28.18 |
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 $10.47 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.27 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $25.12 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $25.12 |
Where South Carolina sits
The same service costs 5.4 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· 21st 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.