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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.88 | Professional | None | $21.38 | $21.38 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $52.48 Median $75.86 Typical High $138.04 | Facility | None | $52.48 | $75.86 | $138.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $28.18 Typical High $50.12 | Professional | None | $21.88 | $28.18 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $69.18 Typical High $165.96 | Facility | None | $51.29 | $69.18 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $13.18 Typical High $33.11 | Professional | None | $12.59 | $13.18 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $21.38 Median $28.18 Typical High $79.43 | Facility | None | $21.38 | $28.18 | $79.43 |
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 $24.55 Median $24.55 Typical High $33.11 | Facility | None | $24.55 | $24.55 | $33.11 |
United Setting Professional Modifier None Typical Low $11.48 Median $16.22 Typical High $28.18 | Professional | None | $11.48 | $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 $10.72 Median $10.72 Typical High $10.96 | Professional | 52 · Reduced service | $10.72 | $10.72 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.27 Median $4.27 Typical High $4.37 | Professional | 53 · Discontinued | $4.27 | $4.27 | $4.37 |
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· 22nd 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.