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 $22.91 Median $22.91 Typical High $26.92 | Facility | None | $22.91 | $22.91 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $26.92 Typical High $26.92 | Professional | None | $22.91 | $26.92 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $38.02 Median $40.74 Typical High $40.74 | Professional | None | $38.02 | $40.74 | $40.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $51.29 Median $109.65 Typical High $190.55 | Facility | None | $51.29 | $109.65 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $28.84 Typical High $33.88 | Professional | None | $24.55 | $28.84 | $33.88 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $28.18 Typical High $48.98 | Professional | None | $23.44 | $28.18 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $30.90 Typical High $93.33 | Facility | None | $25.12 | $30.90 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $38.02 Typical High $53.70 | Professional | None | $35.48 | $38.02 | $53.70 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $39.81 | Professional | None | $33.11 | $33.11 | $39.81 |
United Setting Facility Modifier None Typical Low $91.20 Median $109.65 Typical High $144.54 | Facility | None | $91.20 | $109.65 | $144.54 |
United Setting Professional Modifier None Typical Low $30.90 Median $34.67 Typical High $34.67 | Professional | None | $30.90 | $34.67 | $34.67 |
1 more rate 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 AT · Acute treatment Typical Low $25.70 Median $34.67 Typical High $37.15 | Professional | AT · Acute treatment | $25.70 | $34.67 | $37.15 |
Where South Carolina sits
The same service costs 2.8 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· 46th of 51
$28.84
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.