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 $24.55 Median $24.55 Typical High $52.48 | Facility | None | $24.55 | $24.55 | $52.48 |
Aetna Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $52.48 | Professional | None | $23.99 | $39.81 | $52.48 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $12.30 Median $19.95 Typical High $26.30 | Professional | 52 · Reduced service | $12.30 | $19.95 | $26.30 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.90 Median $7.94 Typical High $10.47 | Professional | 53 · Discontinued | $4.90 | $7.94 | $10.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $173.78 Typical High $309.03 | Facility | None | $102.33 | $173.78 | $309.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $52.48 Typical High $60.26 | Professional | None | $19.95 | $52.48 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $51.29 Typical High $64.57 | Professional | None | $25.70 | $51.29 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $51.29 Typical High $70.79 | Facility | None | $24.55 | $51.29 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $56.23 Typical High $66.07 | Professional | None | $56.23 | $56.23 | $66.07 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $38.90 Typical High $60.26 | Professional | None | $30.20 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $21.88 Median $41.69 Typical High $67.61 | Professional | None | $21.88 | $41.69 | $67.61 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier GC · Resident with teaching physician Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | GC · Resident with teaching physician | $37.15 | $37.15 | $37.15 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.18 Median $28.18 Typical High $36.31 | Professional | 51 · Multiple procedures | $28.18 | $28.18 | $36.31 |
Where South Carolina sits
The same service costs 3.7 times more in Alaska than in Washington, DC. 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· 25th of 51
$47.86
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.