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 $6.03 Median $6.03 Typical High $6.03 | Facility | None | $6.03 | $6.03 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $4.90 Median $6.03 Typical High $6.46 | Professional | None | $4.90 | $6.03 | $6.46 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $6.17 Typical High $7.59 | Professional | None | $5.01 | $6.17 | $7.59 |
Cigna Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | None | $3.02 | $3.02 | $3.02 |
Medcost Setting Facility Modifier None Typical Low $5.01 Median $6.03 Typical High $20.89 | Facility | None | $5.01 | $6.03 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $5.62 Median $6.03 Typical High $10.00 | Professional | None | $5.62 | $6.03 | $10.00 |
United Setting Professional Modifier None Typical Low $2.75 Median $3.72 Typical High $4.68 | Professional | None | $2.75 | $3.72 | $4.68 |
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 $2.82 Median $3.02 Typical High $6.46 | Professional | 51 · Multiple procedures | $2.82 | $3.02 | $6.46 |
Where South Carolina sits
The same service costs 2.7 times more in Hawaii than in Connecticut. 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· 20th of 51
$5.01
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.