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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $19.95 | Professional | None | $19.50 | $19.50 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1.91 Median $134.90 Typical High $138.04 | Facility | None | $1.91 | $134.90 | $138.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $13.80 Median $25.12 Typical High $25.12 | Professional | None | $13.80 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $154.88 | Facility | None | $46.77 | $52.48 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $14.79 Median $14.79 Typical High $25.70 | Professional | None | $14.79 | $14.79 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $18.62 Median $22.39 Typical High $44.67 | Facility | None | $18.62 | $22.39 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $15.49 | Professional | None | $14.13 | $15.49 | $15.49 |
United Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $30.20 | Facility | None | $22.39 | $22.39 | $30.20 |
United Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $25.12 | Professional | None | $10.00 | $15.14 | $25.12 |
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 $9.77 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.89 Median $3.89 Typical High $3.98 | Professional | 53 · Discontinued | $3.89 | $3.89 | $3.98 |
Where South Carolina sits
The same service costs 2.7 times more in Montana than in Georgia. 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· 29th 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.