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 $109.65 Median $109.65 Typical High $109.65 | Facility | None | $109.65 | $109.65 | $109.65 |
Aetna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $131.83 | Professional | None | $109.65 | $109.65 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $190.55 Median $323.59 Typical High $660.69 | Facility | None | $190.55 | $323.59 | $660.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $83.18 Median $141.25 Typical High $158.49 | Professional | None | $83.18 | $141.25 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $416.87 Typical High $870.96 | Facility | None | $263.03 | $416.87 | $870.96 |
Cigna Setting Professional Modifier None Typical Low $69.18 Median $91.20 Typical High $257.04 | Professional | None | $69.18 | $91.20 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $109.65 Median $147.91 Typical High $407.38 | Facility | None | $109.65 | $147.91 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $257.04 Typical High $257.04 | Professional | None | $79.43 | $257.04 | $257.04 |
United Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Facility | None | $125.89 | $125.89 | $169.82 |
United Setting Professional Modifier None Typical Low $85.11 Median $141.25 Typical High $467.74 | Professional | None | $85.11 | $141.25 | $467.74 |
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 $39.81 Median $128.82 Typical High $162.18 | Professional | 51 · Multiple procedures | $39.81 | $128.82 | $162.18 |
Where South Carolina sits
The same service costs 6.0 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· 16th of 51
$219
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.