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 $2.57 Median $2.57 Typical High $2.57 | Facility | None | $2.57 | $2.57 | $2.57 |
Aetna Setting Professional Modifier None Typical Low $2.57 Median $2.57 Typical High $3.16 | Professional | None | $2.57 | $2.57 | $3.16 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $28.18 | Professional | None | $25.12 | $25.12 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medcost Setting Facility Modifier None Typical Low $2.57 Median $3.09 Typical High $5.01 | Facility | None | $2.57 | $3.09 | $5.01 |
Medcost Setting Professional Modifier None Typical Low $3.24 Median $4.90 Typical High $19.05 | Professional | None | $3.24 | $4.90 | $19.05 |
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 $1.78 Median $1.95 Typical High $3.39 | Professional | None | $1.78 | $1.95 | $3.39 |
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 $1.62 Median $2.45 Typical High $9.55 | Professional | 51 · Multiple procedures | $1.62 | $2.45 | $9.55 |
Where South Carolina sits
The same service costs 25.1 times more in Wyoming than in West Virginia. 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· 25th 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.