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 $10.23 Median $11.75 Typical High $13.80 | Facility | None | $10.23 | $11.75 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $10.47 Typical High $13.80 | Professional | None | $9.33 | $10.47 | $13.80 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $10.23 Typical High $12.30 | Professional | None | $10.00 | $10.23 | $12.30 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $14.45 | Professional | None | $11.75 | $14.45 | $14.45 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $1.51 Median $3.63 Typical High $14.13 | Professional | 29 | $1.51 | $3.63 | $14.13 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $4.27 Typical High $14.79 | Professional | None | $2.82 | $4.27 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $13.49 Median $15.85 Typical High $37.15 | Facility | None | $13.49 | $15.85 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $4.07 Median $5.50 Typical High $17.38 | Professional | None | $4.07 | $5.50 | $17.38 |
United Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $14.79 | Professional | None | $10.72 | $10.72 | $14.79 |
5 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier AF · Specialist physician Typical Low $12.30 Median $12.30 Typical High $13.80 | Facility | AF · Specialist physician | $12.30 | $12.30 | $13.80 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $9.33 Median $9.33 Typical High $10.23 | Facility | HO · Master's level | $9.33 | $9.33 | $10.23 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $10.47 Median $10.47 Typical High $11.75 | Facility | TD · Registered nurse | $10.47 | $10.47 | $11.75 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $8.71 Median $10.72 Typical High $14.45 | Professional | HO · Master's level | $8.71 | $10.72 | $14.45 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.04 Median $2.69 Typical High $10.96 | Professional | 51 · Multiple procedures | $2.04 | $2.69 | $10.96 |
Where South Carolina sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 34th of 51
$11.75
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.