How much rates vary
Facilitymedian $347 · 10th to 90th $135 to $741Professionalmedian $155 · 10th to 90th $120 to $195
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 $131.83 Median $134.90 Typical High $181.97 | Facility | None | $131.83 | $134.90 | $181.97 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $181.97 | Professional | None | $120.23 | $154.88 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $134.90 Median $165.96 Typical High $269.15 | Professional | None | $134.90 | $165.96 | $269.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $436.52 Typical High $741.31 | Facility | None | $263.03 | $436.52 | $741.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $158.49 Median $194.98 Typical High $194.98 | Professional | None | $158.49 | $194.98 | $194.98 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $77.62 Median $144.54 Typical High $165.96 | Professional | 29 | $77.62 | $144.54 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $177.83 | Professional | None | $60.26 | $60.26 | $177.83 |
Medcost Setting Facility Modifier None Typical Low $158.49 Median $199.53 Typical High $478.63 | Facility | None | $158.49 | $199.53 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $144.54 Typical High $229.09 | Professional | None | $109.65 | $144.54 | $229.09 |
Molina Setting Professional Modifier None Typical Low $194.98 Median $239.88 Typical High $380.19 | Professional | None | $194.98 | $239.88 | $380.19 |
United Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,174.90 | Facility | None | $741.31 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $141.25 Median $141.25 Typical High $186.21 | Professional | None | $141.25 | $141.25 | $186.21 |
8 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 $158.49 Median $158.49 Typical High $181.97 | Facility | AF · Specialist physician | $158.49 | $158.49 | $181.97 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $120.23 Median $120.23 Typical High $134.90 | Facility | HO · Master's level | $120.23 | $120.23 | $134.90 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $134.90 Median $134.90 Typical High $154.88 | Facility | TD · Registered nurse | $134.90 | $134.90 | $154.88 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | 93 · Audio-only telehealth | $169.82 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier AF · Specialist physician Typical Low $158.49 Median $158.49 Typical High $194.98 | Professional | AF · Specialist physician | $158.49 | $158.49 | $194.98 |
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $288.40 Median $288.40 Typical High $363.08 | Professional | GC · Resident with teaching physician | $288.40 | $288.40 | $363.08 |
Ambetter Setting Professional Modifier SA · Nurse practitioner Typical Low $147.91 Median $165.96 Typical High $194.98 | Professional | SA · Nurse practitioner | $147.91 | $165.96 | $194.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $72.44 Typical High $141.25 | Professional | 51 · Multiple procedures | $53.70 | $72.44 | $141.25 |
Where South Carolina sits
The same service costs 2.2 times more in North Dakota than in Kentucky. 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· 32nd of 51
$155
ND $295KY $132
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.