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 $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | None | $13.80 | $13.80 | $14.79 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $6.92 Median $6.92 Typical High $7.41 | Professional | 52 · Reduced service | $6.92 | $6.92 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.75 Median $2.75 Typical High $2.95 | Professional | 53 · Discontinued | $2.75 | $2.75 | $2.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $53.70 Typical High $95.50 | Facility | None | $34.67 | $53.70 | $95.50 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Cigna Setting Facility Modifier None Typical Low $1.07 Median $1.70 Typical High $85.11 | Facility | None | $1.07 | $1.70 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $4.37 Median $9.33 Typical High $18.62 | Professional | None | $4.37 | $9.33 | $18.62 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $16.60 Typical High $57.54 | Facility | None | $8.71 | $16.60 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $9.77 Typical High $20.89 | Professional | None | $4.07 | $9.77 | $20.89 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $707.95 Median $870.96 Typical High $1,122.02 | Facility | None | $707.95 | $870.96 | $1,122.02 |
United Setting Professional Modifier None Typical Low $4.37 Median $8.71 Typical High $12.30 | Professional | None | $4.37 | $8.71 | $12.30 |
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 $2.04 Median $4.90 Typical High $13.18 | Professional | 51 · Multiple procedures | $2.04 | $4.90 | $13.18 |
Where South Carolina sits
The same service costs 9.3 times more in Alaska than in New Jersey. 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· 33rd of 51
$11.22
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.