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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.75 | Professional | None | $11.48 | $11.48 | $11.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19.95 Median $32.36 Typical High $66.07 | Facility | None | $19.95 | $32.36 | $66.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $14.79 Typical High $16.22 | Professional | None | $6.03 | $14.79 | $16.22 |
Cigna Setting Facility Modifier None Typical Low $27.54 Median $33.11 Typical High $89.13 | Facility | None | $27.54 | $33.11 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $6.92 Typical High $26.92 | Professional | None | $3.80 | $6.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $8.13 Median $11.48 Typical High $42.66 | Facility | None | $8.13 | $11.48 | $42.66 |
Medcost Setting Professional Modifier None Typical Low $8.32 Median $10.96 Typical High $19.05 | Professional | None | $8.32 | $10.96 | $19.05 |
United Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $17.38 | Facility | None | $13.18 | $13.18 | $17.38 |
United Setting Professional Modifier None Typical Low $7.41 Median $10.47 Typical High $22.91 | Professional | None | $7.41 | $10.47 | $22.91 |
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 $4.17 Median $5.50 Typical High $10.96 | Professional | 51 · Multiple procedures | $4.17 | $5.50 | $10.96 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 17th of 51
$17.78
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.