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 $15.85 Median $15.85 Typical High $42.66 | Facility | None | $15.85 | $15.85 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $28.18 | Professional | None | $15.85 | $15.85 | $28.18 |
Ambetter Setting Professional Modifier None Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | None | $20.42 | $20.42 | $22.39 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $75.86 Typical High $117.49 | Facility | None | $33.88 | $75.86 | $117.49 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $28.84 Typical High $42.66 | Professional | None | $18.20 | $28.84 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $125.89 | Facility | None | $38.02 | $51.29 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $13.49 Typical High $44.67 | Professional | None | $10.23 | $13.49 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $21.38 Typical High $58.88 | Facility | None | $15.85 | $21.38 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $37.15 Typical High $42.66 | Professional | None | $24.55 | $37.15 | $42.66 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Facility | None | $18.20 | $18.20 | $24.55 |
United Setting Professional Modifier None Typical Low $12.02 Median $20.42 Typical High $67.61 | Professional | None | $12.02 | $20.42 | $67.61 |
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 $14.45 Median $18.62 Typical High $21.38 | Professional | 51 · Multiple procedures | $14.45 | $18.62 | $21.38 |
Where South Carolina sits
The same service costs 4.6 times more in Vermont than in Illinois. 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· 15th of 51
$33.11
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.