How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $60.26 Median $60.26 Typical High $61.66 | Facility | None | $60.26 | $60.26 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $61.66 | Professional | None | $60.26 | $60.26 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $39.81 Median $41.69 Typical High $69.18 | Professional | None | $39.81 | $41.69 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $69.18 Typical High $162.18 | Facility | None | $60.26 | $69.18 | $162.18 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $56.23 Typical High $79.43 | Professional | None | $46.77 | $56.23 | $79.43 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $102.33 | Professional | None | $54.95 | $67.61 | $102.33 |
2 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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier 29 Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | 29 | $58.88 | $58.88 | $58.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $23.44 Median $28.18 Typical High $42.66 | Professional | 51 · Multiple procedures | $23.44 | $28.18 | $42.66 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska than in New Mexico. 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· 24th of 51
$60.26
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.