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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $19.05 | Professional | None | $17.78 | $17.78 | $19.05 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $8.91 Median $8.91 Typical High $9.55 | Professional | 52 · Reduced service | $8.91 | $8.91 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.55 Median $3.55 Typical High $3.89 | Professional | 53 · Discontinued | $3.55 | $3.55 | $3.89 |
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 $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $1.51 Median $3.39 Typical High $112.20 | Facility | None | $1.51 | $3.39 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $7.41 Median $12.02 Typical High $21.88 | Professional | None | $7.41 | $12.02 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $21.38 Typical High $72.44 | Facility | None | $16.98 | $21.38 | $72.44 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $19.95 Typical High $27.54 | Professional | None | $12.88 | $19.95 | $27.54 |
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 $7.41 Median $11.22 Typical High $15.85 | Professional | None | $7.41 | $11.22 | $15.85 |
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 $10.00 Typical High $16.98 | Professional | 51 · Multiple procedures | $6.31 | $10.00 | $16.98 |
Where South Carolina sits
The same service costs 14.8 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· 26th of 51
$15.85
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.