How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $39.81 Median $39.81 Typical High $39.81 | Facility | None | $39.81 | $39.81 | $39.81 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $40.74 | Professional | None | $39.81 | $39.81 | $40.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $117.49 Typical High $316.23 | Facility | None | $67.61 | $117.49 | $316.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $51.29 Median $77.62 Typical High $112.20 | Professional | None | $51.29 | $77.62 | $112.20 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $128.82 Typical High $316.23 | Facility | None | $97.72 | $128.82 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $34.67 Typical High $66.07 | Professional | None | $25.70 | $34.67 | $66.07 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $147.91 | Facility | None | $39.81 | $53.70 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $72.44 Typical High $87.10 | Professional | None | $40.74 | $72.44 | $87.10 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Facility | None | $45.71 | $45.71 | $61.66 |
United Setting Professional Modifier None Typical Low $21.38 Median $35.48 Typical High $61.66 | Professional | None | $21.38 | $35.48 | $61.66 |
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 $19.95 Median $36.31 Typical High $47.86 | Professional | 51 · Multiple procedures | $19.95 | $36.31 | $47.86 |
Where South Carolina sits
The same service costs 4.4 times more in Kansas than in Delaware. 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
$51.29
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.