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 $12.59 Median $12.59 Typical High $12.59 | Facility | None | $12.59 | $12.59 | $12.59 |
Aetna Setting Professional Modifier None Typical Low $12.59 Median $12.59 Typical High $12.88 | Professional | None | $12.59 | $12.59 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $26.30 Median $46.77 Typical High $125.89 | Facility | None | $26.30 | $46.77 | $125.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.85 Median $16.98 Typical High $30.20 | Professional | None | $15.85 | $16.98 | $30.20 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $47.86 Typical High $97.72 | Facility | None | $30.20 | $47.86 | $97.72 |
Cigna Setting Professional Modifier None Typical Low $7.24 Median $7.76 Typical High $18.20 | Professional | None | $7.24 | $7.76 | $18.20 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $15.85 Typical High $21.38 | Facility | None | $10.00 | $15.85 | $21.38 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $18.62 Typical High $21.88 | Professional | None | $12.88 | $18.62 | $21.88 |
United Setting Facility Modifier None Typical Low $14.45 Median $14.45 Typical High $19.05 | Facility | None | $14.45 | $14.45 | $19.05 |
United Setting Professional Modifier None Typical Low $6.76 Median $9.55 Typical High $19.05 | Professional | None | $6.76 | $9.55 | $19.05 |
2 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 $6.31 Median $6.31 Typical High $6.46 | Professional | 52 · Reduced service | $6.31 | $6.31 | $6.46 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.51 Median $2.51 Typical High $2.57 | Professional | 53 · Discontinued | $2.51 | $2.51 | $2.57 |
Where South Carolina sits
The same service costs 3.5 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· 19th of 51
$16.98
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.