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 $46.77 Median $58.88 Typical High $70.79 | Facility | None | $46.77 | $58.88 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $58.88 Typical High $70.79 | Professional | None | $46.77 | $58.88 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $51.29 Median $63.10 Typical High $85.11 | Professional | None | $51.29 | $63.10 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $389.05 Typical High $616.60 | Facility | None | $194.98 | $389.05 | $616.60 |
BCBS South Carolina Setting Professional Modifier None Typical Low $69.18 Median $85.11 Typical High $85.11 | Professional | None | $69.18 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $33.88 Median $61.66 Typical High $75.86 | Professional | 29 | $33.88 | $61.66 | $75.86 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $72.44 | Professional | None | $39.81 | $47.86 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $77.62 Typical High $194.98 | Facility | None | $67.61 | $77.62 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $61.66 Typical High $89.13 | Professional | None | $53.70 | $61.66 | $89.13 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
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 $53.70 Median $53.70 Typical High $75.86 | Professional | None | $53.70 | $53.70 | $75.86 |
6 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 $61.66 Median $61.66 Typical High $70.79 | Facility | AF · Specialist physician | $61.66 | $61.66 | $70.79 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $46.77 Median $46.77 Typical High $52.48 | Facility | HO · Master's level | $46.77 | $46.77 | $52.48 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $52.48 Median $52.48 Typical High $58.88 | Facility | TD · Registered nurse | $52.48 | $52.48 | $58.88 |
Ambetter Setting Professional Modifier 93 · Audio-only telehealth Typical Low $63.10 Median $72.44 Typical High $72.44 | Professional | 93 · Audio-only telehealth | $63.10 | $72.44 | $72.44 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $51.29 Median $63.10 Typical High $85.11 | Professional | HO · Master's level | $51.29 | $63.10 | $85.11 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $26.92 Median $30.20 Typical High $54.95 | Professional | 51 · Multiple procedures | $26.92 | $30.20 | $54.95 |
Where South Carolina sits
The same service costs 1.9 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· 30th of 51
$61.66
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.