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 $31.62 Median $31.62 Typical High $64.57 | Facility | None | $31.62 | $31.62 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $40.74 | Professional | None | $31.62 | $31.62 | $40.74 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $72.44 Median $112.20 Typical High $213.80 | Facility | None | $72.44 | $112.20 | $213.80 |
BCBS South Carolina Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $64.57 | Professional | None | $39.81 | $48.98 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $75.86 Median $102.33 Typical High $251.19 | Facility | None | $75.86 | $102.33 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $18.62 Median $22.91 Typical High $48.98 | Professional | None | $18.62 | $22.91 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $38.02 Typical High $117.49 | Facility | None | $31.62 | $38.02 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $47.86 Typical High $56.23 | Professional | None | $33.11 | $47.86 | $56.23 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $48.98 | Facility | None | $36.31 | $36.31 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $24.55 Typical High $47.86 | Professional | None | $16.98 | $24.55 | $47.86 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.46 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $16.60 Median $23.99 Typical High $38.02 | Professional | 51 · Multiple procedures | $16.60 | $23.99 | $38.02 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 11th of 51
$47.86
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.