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 $19.95 Median $19.95 Typical High $25.70 | Facility | None | $19.95 | $19.95 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $21.88 | Professional | None | $19.95 | $19.95 | $21.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $10.00 Median $10.00 Typical High $10.96 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.96 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.07 Median $4.07 Typical High $4.37 | Professional | 53 · Discontinued | $4.07 | $4.07 | $4.37 |
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 $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Cigna Setting Facility Modifier None Typical Low $1.74 Median $3.89 Typical High $125.89 | Facility | None | $1.74 | $3.89 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $9.55 Median $14.13 Typical High $26.92 | Professional | None | $9.55 | $14.13 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $23.99 Typical High $54.95 | Facility | None | $19.95 | $23.99 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $9.55 Median $19.50 Typical High $30.90 | Professional | None | $9.55 | $19.50 | $30.90 |
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 $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $9.55 Median $12.59 Typical High $18.20 | Professional | None | $9.55 | $12.59 | $18.20 |
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 $4.68 Median $9.77 Typical High $19.50 | Professional | 51 · Multiple procedures | $4.68 | $9.77 | $19.50 |
Where South Carolina sits
The same service costs 8.9 times more in Alaska 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· 27th of 51
$18.20
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.