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 $12.88 Median $33.11 Typical High $75.86 | Facility | None | $12.88 | $33.11 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $44.67 Typical High $57.54 | Professional | None | $12.88 | $44.67 | $57.54 |
Ambetter Setting Professional Modifier None Typical Low $10.00 Median $15.14 Typical High $47.86 | Professional | None | $10.00 | $15.14 | $47.86 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.72 Median $47.86 Typical High $60.26 | Professional | None | $10.72 | $47.86 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $12.59 Median $46.77 Typical High $72.44 | Professional | None | $12.59 | $46.77 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $13.18 Median $33.11 Typical High $67.61 | Facility | None | $13.18 | $33.11 | $67.61 |
Medcost Setting Professional Modifier None Typical Low $56.23 Median $57.54 Typical High $66.07 | Professional | None | $56.23 | $57.54 | $66.07 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $41.69 Typical High $61.66 | Professional | None | $31.62 | $41.69 | $61.66 |
United Setting Professional Modifier None Typical Low $12.02 Median $38.90 Typical High $72.44 | Professional | None | $12.02 | $38.90 | $72.44 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $3.09 Typical High $10.00 | Professional | 53 · Discontinued | $2.57 | $3.09 | $10.00 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $28.84 Typical High $36.31 | Professional | 51 · Multiple procedures | $28.84 | $28.84 | $36.31 |
Where South Carolina sits
The same service costs 6.8 times more in Minnesota than in Georgia. 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· 18th of 51
$46.77
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.