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 $102.33 Median $269.15 Typical High $9,772.37 | Facility | None | $102.33 | $269.15 | $9,772.37 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $204.17 Typical High $269.15 | Professional | None | $85.11 | $204.17 | $269.15 |
Ambetter Setting Professional Modifier None Typical Low $56.23 Median $72.44 Typical High $131.83 | Professional | None | $56.23 | $72.44 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $616.60 Median $812.83 Typical High $2,041.74 | Facility | None | $616.60 | $812.83 | $2,041.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $72.44 Median $169.82 Typical High $346.74 | Professional | None | $72.44 | $169.82 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $229.09 Typical High $380.19 | Professional | None | $123.03 | $229.09 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $239.88 Typical High $512.86 | Facility | None | $102.33 | $239.88 | $512.86 |
Medcost Setting Professional Modifier None Typical Low $213.80 Median $346.74 Typical High $354.81 | Professional | None | $213.80 | $346.74 | $354.81 |
Molina Setting Professional Modifier None Typical Low $229.09 Median $288.40 Typical High $436.52 | Professional | None | $229.09 | $288.40 | $436.52 |
United Setting Facility Modifier None Typical Low $1,202.26 Median $4,073.80 Typical High $7,762.47 | Facility | None | $1,202.26 | $4,073.80 | $7,762.47 |
United Setting Professional Modifier None Typical Low $89.13 Median $218.78 Typical High $446.68 | Professional | None | $89.13 | $218.78 | $446.68 |
1 more rate 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $107.15 Median $173.78 Typical High $204.17 | Professional | 51 · Multiple procedures | $107.15 | $173.78 | $204.17 |
Where South Carolina sits
The same service costs 4.1 times more in Minnesota than in Kentucky. 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· 23rd of 51
$229
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.