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 $6.76 Median $6.76 Typical High $24.55 | Facility | None | $6.76 | $6.76 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $8.32 | Professional | None | $6.76 | $6.76 | $8.32 |
Ambetter Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | None | $15.85 | $15.85 | $15.85 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.20 Median $24.55 Typical High $52.48 | Facility | None | $18.20 | $24.55 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.71 Median $12.88 Typical High $22.39 | Professional | None | $8.71 | $12.88 | $22.39 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $21.88 Typical High $53.70 | Facility | None | $16.22 | $21.88 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $4.47 Median $5.62 Typical High $10.96 | Professional | None | $4.47 | $5.62 | $10.96 |
Medcost Setting Facility Modifier None Typical Low $6.46 Median $8.71 Typical High $14.13 | Facility | None | $6.46 | $8.71 | $14.13 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $15.85 Typical High $30.20 | Professional | None | $8.91 | $15.85 | $30.20 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $10.23 | Facility | None | $7.76 | $7.76 | $10.23 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $12.02 | Professional | None | $5.13 | $8.32 | $12.02 |
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 $3.39 Median $3.39 Typical High $3.47 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.38 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.38 |
Where South Carolina sits
The same service costs 4.1 times more in Kansas 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· 6th of 51
$12.88
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.