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 $3.02 Median $3.02 Typical High $3.02 | Facility | None | $3.02 | $3.02 | $3.02 |
Aetna Setting Professional Modifier None Typical Low $2.63 Median $3.02 Typical High $3.02 | Professional | None | $2.63 | $3.02 | $3.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3.47 Median $3.89 Typical High $3.89 | Facility | None | $3.47 | $3.89 | $3.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.02 Median $3.72 Typical High $3.89 | Professional | None | $3.02 | $3.72 | $3.89 |
Cigna Setting Facility Modifier None Typical Low $2.29 Median $2.29 Typical High $2.82 | Facility | None | $2.29 | $2.29 | $2.82 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $1.95 Typical High $2.82 | Professional | None | $1.95 | $1.95 | $2.82 |
Medcost Setting Professional Modifier None Typical Low $1.91 Median $1.91 Typical High $1.91 | Professional | None | $1.91 | $1.91 | $1.91 |
Medcost Setting Facility Modifier None Typical Low $1.05 Median $3.16 Typical High $4.68 | Facility | None | $1.05 | $3.16 | $4.68 |
Medcost Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $5.01 | Professional | None | $2.82 | $2.82 | $5.01 |
Molina Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $2.57 | Professional | None | $2.57 | $2.57 | $2.57 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.82 Typical High $2.29 | Professional | None | $1.26 | $1.82 | $2.29 |
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 $1.41 Median $1.41 Typical High $3.39 | Professional | 51 · Multiple procedures | $1.41 | $1.41 | $3.39 |
Where South Carolina sits
The same service costs 2.2 times more in Kansas than in Alabama. 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· 16th of 51
$3.02
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.