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 $20.89 Median $20.89 Typical High $42.66 | Facility | None | $20.89 | $20.89 | $42.66 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $30.90 | Professional | None | $20.89 | $20.89 | $30.90 |
Ambetter Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $43.65 Median $79.43 Typical High $154.88 | Facility | None | $43.65 | $79.43 | $154.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $26.92 Typical High $42.66 | Professional | None | $18.20 | $26.92 | $42.66 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $67.61 Typical High $162.18 | Facility | None | $50.12 | $67.61 | $162.18 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $53.70 | Professional | None | $13.49 | $17.38 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $28.18 Typical High $75.86 | Facility | None | $20.89 | $28.18 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $48.98 Typical High $48.98 | Professional | None | $31.62 | $48.98 | $48.98 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $31.62 | Facility | None | $23.99 | $23.99 | $31.62 |
United Setting Professional Modifier None Typical Low $15.85 Median $26.92 Typical High $89.13 | Professional | None | $15.85 | $26.92 | $89.13 |
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 $19.05 Median $24.55 Typical High $24.55 | Professional | 51 · Multiple procedures | $19.05 | $24.55 | $24.55 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Maryland. 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· 10th of 51
$46.77
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.