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 $3.72 Median $3.72 Typical High $13.49 | Facility | None | $3.72 | $3.72 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $4.37 | Professional | None | $3.72 | $3.72 | $4.37 |
Ambetter Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $4.68 | Professional | None | $4.68 | $4.68 | $4.68 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.91 Median $47.86 Typical High $102.33 | Facility | None | $22.91 | $47.86 | $102.33 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4.68 Median $8.91 Typical High $12.30 | Professional | None | $4.68 | $8.91 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $12.02 Typical High $30.20 | Facility | None | $8.91 | $12.02 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.02 Typical High $6.17 | Professional | None | $2.45 | $3.02 | $6.17 |
Medcost Setting Facility Modifier None Typical Low $3.55 Median $4.68 Typical High $7.76 | Facility | None | $3.55 | $4.68 | $7.76 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $12.88 | Professional | None | $5.01 | $8.91 | $12.88 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $5.62 | Facility | None | $4.27 | $4.27 | $5.62 |
United Setting Professional Modifier None Typical Low $2.00 Median $3.24 Typical High $6.61 | Professional | None | $2.00 | $3.24 | $6.61 |
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 $1.82 Median $1.82 Typical High $1.91 | Professional | 52 · Reduced service | $1.82 | $1.82 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.76 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.76 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Maryland. 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· 4th of 51
$8.91
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.