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 $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 $43.65 | Professional | None | $39.81 | $39.81 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19.05 Median $30.20 Typical High $63.10 | Facility | None | $19.05 | $30.20 | $63.10 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $15.14 Typical High $50.12 | Professional | None | $14.13 | $15.14 | $50.12 |
Cigna Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $309.03 | Facility | None | $93.33 | $104.71 | $309.03 |
Cigna Setting Professional Modifier None Typical Low $7.08 Median $22.39 Typical High $52.48 | Professional | None | $7.08 | $22.39 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $14.79 Median $39.81 Typical High $144.54 | Facility | None | $14.79 | $39.81 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $60.26 | Professional | None | $19.95 | $19.95 | $60.26 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $60.26 | Facility | None | $45.71 | $45.71 | $60.26 |
United Setting Professional Modifier None Typical Low $15.49 Median $30.20 Typical High $72.44 | Professional | None | $15.49 | $30.20 | $72.44 |
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 $10.00 Median $10.00 Typical High $38.02 | Professional | 51 · Multiple procedures | $10.00 | $10.00 | $38.02 |
Where South Carolina sits
The same service costs 10.2 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· 47th of 51
$30.20
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.