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 $13.49 Median $13.49 Typical High $13.49 | Facility | None | $13.49 | $13.49 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.49 Typical High $13.49 | Professional | None | $13.18 | $13.49 | $13.49 |
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 $18.62 | Professional | None | $14.13 | $15.14 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $34.67 Median $45.71 Typical High $112.20 | Facility | None | $34.67 | $45.71 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $7.41 Typical High $39.81 | Professional | None | $6.61 | $7.41 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $14.79 Typical High $51.29 | Facility | None | $13.49 | $14.79 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $19.95 Typical High $20.89 | Professional | None | $15.14 | $19.95 | $20.89 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $22.39 | Facility | None | $16.60 | $16.60 | $22.39 |
United Setting Professional Modifier None Typical Low $9.12 Median $15.14 Typical High $35.48 | Professional | None | $9.12 | $15.14 | $35.48 |
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 $7.59 Median $10.00 Typical High $12.88 | Professional | 51 · Multiple procedures | $7.59 | $10.00 | $12.88 |
Where South Carolina sits
The same service costs 5.0 times more in Alaska than in New Jersey. 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· 25th 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.