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 $8.32 Median $8.32 Typical High $20.42 | Facility | None | $8.32 | $8.32 | $20.42 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $18.20 Typical High $20.42 | Professional | None | $8.32 | $18.20 | $20.42 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.17 Median $9.12 Typical High $10.23 | Professional | 52 · Reduced service | $4.17 | $9.12 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.70 Median $3.63 Typical High $4.07 | Professional | 53 · Discontinued | $1.70 | $3.63 | $4.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $102.33 Median $234.42 Typical High $323.59 | Facility | None | $102.33 | $234.42 | $323.59 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.92 Median $20.89 Typical High $23.99 | Professional | None | $6.92 | $20.89 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $9.12 Median $19.05 Typical High $25.70 | Professional | None | $9.12 | $19.05 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $8.51 Median $19.95 Typical High $27.54 | Facility | None | $8.51 | $19.95 | $27.54 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $25.70 | Professional | None | $21.88 | $21.88 | $25.70 |
United Setting Professional Modifier None Typical Low $7.76 Median $15.49 Typical High $26.30 | Professional | None | $7.76 | $15.49 | $26.30 |
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 $12.59 Median $12.59 Typical High $12.59 | Professional | GC · Resident with teaching physician | $12.59 | $12.59 | $12.59 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $10.96 Median $10.96 Typical High $14.45 | Professional | 51 · Multiple procedures | $10.96 | $10.96 | $14.45 |
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
$19.05
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.