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 $47.86 Median $56.23 Typical High $66.07 | Facility | None | $47.86 | $56.23 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $66.07 | Professional | None | $47.86 | $56.23 | $66.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $47.86 Median $64.57 Typical High $72.44 | Professional | None | $47.86 | $64.57 | $72.44 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $47.86 Median $64.57 Typical High $64.57 | Professional | 29 | $47.86 | $64.57 | $64.57 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $66.07 Typical High $97.72 | Professional | None | $53.70 | $66.07 | $97.72 |
Medcost Setting Facility Modifier None Typical Low $66.07 Median $72.44 Typical High $173.78 | Facility | None | $66.07 | $72.44 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $51.29 Typical High $77.62 | Professional | None | $35.48 | $51.29 | $77.62 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $44.67 Typical High $58.88 | Professional | None | $35.48 | $44.67 | $58.88 |
United Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $70.79 | Professional | None | $47.86 | $47.86 | $70.79 |
5 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 Facility Modifier AF · Specialist physician Typical Low $63.10 Median $63.10 Typical High $66.07 | Facility | AF · Specialist physician | $63.10 | $63.10 | $66.07 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $47.86 Median $47.86 Typical High $50.12 | Facility | HO · Master's level | $47.86 | $47.86 | $50.12 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $53.70 Median $53.70 Typical High $56.23 | Facility | TD · Registered nurse | $53.70 | $53.70 | $56.23 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | HO · Master's level | $47.86 | $47.86 | $47.86 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $17.78 Median $25.70 Typical High $47.86 | Professional | 51 · Multiple procedures | $17.78 | $25.70 | $47.86 |
Where South Carolina sits
The same service costs 2.3 times more in Alaska than in Arizona. 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· 39th of 51
$56.23
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.