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 $199.53 Median $199.53 Typical High $199.53 | Facility | None | $199.53 | $199.53 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $245.47 | Professional | None | $199.53 | $199.53 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $281.84 | Professional | None | $251.19 | $251.19 | $281.84 |
BCBS South Carolina Setting Professional Modifier KF · Class III device Typical Low $281.84 Median $281.84 Typical High $281.84 | Professional | KF · Class III device | $281.84 | $281.84 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $239.88 Typical High $776.25 | Facility | None | $199.53 | $239.88 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $251.19 Median $251.19 Typical High $354.81 | Professional | None | $251.19 | $251.19 | $354.81 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $120.23 Median $144.54 Typical High $218.78 | Professional | None | $120.23 | $144.54 | $218.78 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $125.89 Median $125.89 Typical High $218.78 | Professional | 51 · Multiple procedures | $125.89 | $125.89 | $218.78 |
Where South Carolina sits
The same service costs 2.1 times more in Montana than in Hawaii. 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· 26th of 51
$200
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.