How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $15.14 Median $15.14 Typical High $15.14 | Facility | None | $15.14 | $15.14 | $15.14 |
Aetna Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $15.85 | Professional | None | $15.14 | $15.14 | $15.85 |
BCBS South Carolina Setting Facility Modifier None Typical Low $35.48 Median $117.49 Typical High $141.25 | Facility | None | $35.48 | $117.49 | $141.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $21.38 | Professional | None | $19.50 | $19.50 | $21.38 |
Cigna Setting Facility Modifier None Typical Low $37.15 Median $50.12 Typical High $123.03 | Facility | None | $37.15 | $50.12 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $9.77 Median $13.80 Typical High $26.30 | Professional | None | $9.77 | $13.80 | $26.30 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $34.67 | Facility | None | $13.80 | $19.50 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $37.15 Typical High $38.90 | Professional | None | $22.91 | $37.15 | $38.90 |
United Setting Facility Modifier None Typical Low $17.78 Median $17.78 Typical High $23.44 | Facility | None | $17.78 | $17.78 | $23.44 |
United Setting Professional Modifier None Typical Low $8.32 Median $14.45 Typical High $35.48 | Professional | None | $8.32 | $14.45 | $35.48 |
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 $7.59 Median $7.59 Typical High $7.76 | Professional | 52 · Reduced service | $7.59 | $7.59 | $7.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.09 Median $3.09 Typical High $3.16 | Professional | 53 · Discontinued | $3.09 | $3.09 | $3.16 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Nebraska. 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· 25th of 51
$19.50
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.