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 $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.00 | Professional | None | $9.33 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.68 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $4.68 | $4.68 | $5.01 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.91 Median $1.91 Typical High $2.00 | Professional | 53 · Discontinued | $1.91 | $1.91 | $2.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.42 Median $33.11 Typical High $61.66 | Facility | None | $20.42 | $33.11 | $61.66 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.00 Median $12.02 Typical High $21.88 | Professional | None | $10.00 | $12.02 | $21.88 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $74.13 | Facility | None | $22.91 | $30.90 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $7.59 Typical High $15.49 | Professional | None | $6.03 | $7.59 | $15.49 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $23.44 Typical High $25.12 | Professional | None | $16.98 | $23.44 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $12.88 Typical High $64.57 | Facility | None | $9.55 | $12.88 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $12.59 Median $14.79 Typical High $21.88 | Professional | None | $12.59 | $14.79 | $21.88 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.45 | Facility | None | $10.96 | $10.96 | $14.45 |
United Setting Professional Modifier None Typical Low $5.13 Median $6.31 Typical High $8.51 | Professional | None | $5.13 | $6.31 | $8.51 |
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 $6.31 Median $8.71 Typical High $10.96 | Professional | 51 · Multiple procedures | $6.31 | $8.71 | $10.96 |
Where South Carolina sits
The same service costs 4.0 times more in Alaska than in Texas. 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· 26th of 51
$10.00
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.