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 $33.88 | Facility | None | $20.89 | $20.89 | $33.88 |
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 $27.54 Median $44.67 Typical High $93.33 | Facility | None | $27.54 | $44.67 | $93.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $22.39 Typical High $26.92 | Professional | None | $14.13 | $22.39 | $26.92 |
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 $12.02 Median $12.59 Typical High $34.67 | Professional | None | $12.02 | $12.59 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $7.59 Median $20.89 Typical High $77.62 | Facility | None | $7.59 | $20.89 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $34.67 | Professional | None | $10.00 | $15.14 | $34.67 |
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 $4.68 Median $16.22 Typical High $38.02 | Professional | None | $4.68 | $16.22 | $38.02 |
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 $5.01 Median $7.59 Typical High $19.95 | Professional | 51 · Multiple procedures | $5.01 | $7.59 | $19.95 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New Jersey. 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· 41st of 51
$22.39
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.