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 $8.13 Median $8.13 Typical High $8.13 | Facility | None | $8.13 | $8.13 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.32 | Professional | None | $8.13 | $8.13 | $8.32 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $27.54 Typical High $58.88 | Facility | None | $20.89 | $27.54 | $58.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.47 Median $18.20 Typical High $25.70 | Professional | None | $10.47 | $18.20 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $64.57 | Facility | None | $19.50 | $26.30 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $4.90 Median $6.46 Typical High $12.59 | Professional | None | $4.90 | $6.46 | $12.59 |
Medcost Setting Facility Modifier None Typical Low $7.24 Median $10.47 Typical High $16.22 | Facility | None | $7.24 | $10.47 | $16.22 |
Medcost Setting Professional Modifier None Typical Low $10.96 Median $15.49 Typical High $18.20 | Professional | None | $10.96 | $15.49 | $18.20 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $12.59 | Facility | None | $9.33 | $9.33 | $12.59 |
United Setting Professional Modifier None Typical Low $4.37 Median $6.76 Typical High $13.80 | Professional | None | $4.37 | $6.76 | $13.80 |
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 $4.07 Median $4.07 Typical High $4.17 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.17 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.62 Median $1.62 Typical High $1.66 | Professional | 53 · Discontinued | $1.62 | $1.62 | $1.66 |
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· 3rd of 51
$18.20
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.