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 $91.20 Median $91.20 Typical High $338.84 | Facility | None | $91.20 | $91.20 | $338.84 |
Aetna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $138.04 | Professional | None | $91.20 | $91.20 | $138.04 |
BCBS South Carolina Setting Facility Modifier None Typical Low $190.55 Median $309.03 Typical High $588.84 | Facility | None | $190.55 | $309.03 | $588.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $117.49 Median $158.49 Typical High $158.49 | Professional | None | $117.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $218.78 Median $295.12 Typical High $724.44 | Facility | None | $218.78 | $295.12 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $58.88 Median $75.86 Typical High $213.80 | Professional | None | $58.88 | $75.86 | $213.80 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $190.55 Typical High $467.74 | Facility | None | $91.20 | $190.55 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $213.80 Typical High $213.80 | Professional | None | $64.57 | $213.80 | $213.80 |
United Setting Facility Modifier None Typical Low $104.71 Median $104.71 Typical High $141.25 | Facility | None | $104.71 | $104.71 | $141.25 |
United Setting Professional Modifier None Typical Low $69.18 Median $117.49 Typical High $389.05 | Professional | None | $69.18 | $117.49 | $389.05 |
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 $32.36 Median $107.15 Typical High $134.90 | Professional | 51 · Multiple procedures | $32.36 | $107.15 | $134.90 |
Where South Carolina sits
The same service costs 6.3 times more in Alaska than in Alabama. 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· 11th of 51
$214
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.