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 $9.55 Median $9.55 Typical High $9.55 | Facility | None | $9.55 | $9.55 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $9.55 Median $9.55 Typical High $14.13 | Professional | None | $9.55 | $9.55 | $14.13 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $17.78 Typical High $20.89 | Professional | QW · Waived lab test | $12.30 | $17.78 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $72.44 Median $75.86 Typical High $1,148.15 | Facility | None | $72.44 | $75.86 | $1,148.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $22.91 | Professional | None | $12.88 | $12.88 | $22.91 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $12.30 Median $12.30 Typical High $13.18 | Professional | QW · Waived lab test | $12.30 | $12.30 | $13.18 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $75.86 | Facility | None | $22.91 | $30.90 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $6.31 Median $7.94 Typical High $15.85 | Professional | None | $6.31 | $7.94 | $15.85 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $12.88 Typical High $35.48 | Facility | None | $9.55 | $12.88 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $14.79 Median $17.78 Typical High $20.89 | Professional | None | $14.79 | $17.78 | $20.89 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $14.79 | Facility | None | $10.96 | $10.96 | $14.79 |
United Setting Professional Modifier None Typical Low $5.13 Median $8.32 Typical High $14.79 | Professional | None | $5.13 | $8.32 | $14.79 |
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 $8.71 Median $8.91 Typical High $11.48 | Professional | 51 · Multiple procedures | $8.71 | $8.91 | $11.48 |
Where South Carolina sits
The same service costs 3.1 times more in Alaska than in Florida. 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· 28th of 51
$12.88
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.