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 $15.49 Median $15.49 Typical High $32.36 | Facility | None | $15.49 | $15.49 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $15.49 Median $15.49 Typical High $22.91 | Professional | None | $15.49 | $15.49 | $22.91 |
Ambetter Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $21.88 | Professional | None | $18.62 | $18.62 | $21.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4.57 Median $12.59 Typical High $123.03 | Facility | None | $4.57 | $12.59 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $19.95 Typical High $50.12 | Professional | None | $5.01 | $19.95 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $123.03 | Facility | None | $38.02 | $51.29 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $12.88 Typical High $25.70 | Professional | None | $10.23 | $12.88 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $15.49 Median $20.89 Typical High $57.54 | Facility | None | $15.49 | $20.89 | $57.54 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $37.15 | Professional | None | $23.99 | $36.31 | $37.15 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $23.99 | Facility | None | $18.20 | $18.20 | $23.99 |
United Setting Professional Modifier None Typical Low $8.51 Median $13.80 Typical High $23.99 | Professional | None | $8.51 | $13.80 | $23.99 |
3 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $7.76 Median $7.76 Typical High $7.94 | Professional | 52 · Reduced service | $7.76 | $7.76 | $7.94 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.16 Median $3.16 Typical High $3.24 | Professional | 53 · Discontinued | $3.16 | $3.16 | $3.24 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $14.45 Median $18.62 Typical High $18.62 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $18.62 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Alabama. 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
$19.95
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.