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 $20.89 Median $20.89 Typical High $22.91 | Facility | None | $20.89 | $20.89 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $22.91 | Professional | None | $20.89 | $20.89 | $22.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $27.54 Typical High $35.48 | Professional | None | $24.55 | $27.54 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $32.36 | Professional | None | $18.20 | $20.89 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $23.44 Typical High $54.95 | Facility | None | $20.89 | $23.44 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $25.70 Typical High $32.36 | Professional | None | $21.88 | $25.70 | $32.36 |
United Setting Professional Modifier None Typical Low $16.22 Median $20.89 Typical High $32.36 | Professional | None | $16.22 | $20.89 | $32.36 |
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 $10.23 Median $10.23 Typical High $11.22 | Professional | 52 · Reduced service | $10.23 | $10.23 | $11.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.57 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.57 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.96 Median $15.85 Typical High $15.85 | Professional | 51 · Multiple procedures | $10.96 | $15.85 | $15.85 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Florida. 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· 34th of 51
$23.44
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.