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 $8.51 Median $8.51 Typical High $8.51 | Facility | None | $8.51 | $8.51 | $8.51 |
Aetna Setting Professional Modifier None Typical Low $6.61 Median $8.51 Typical High $9.33 | Professional | None | $6.61 | $8.51 | $9.33 |
Ambetter Setting Professional Modifier None Typical Low $6.03 Median $7.41 Typical High $15.85 | Professional | None | $6.03 | $7.41 | $15.85 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $10.47 Typical High $10.96 | Professional | None | $7.94 | $10.47 | $10.96 |
Cigna Setting Professional Modifier None Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | None | $5.13 | $5.13 | $5.13 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $8.51 Typical High $30.20 | Facility | None | $8.32 | $8.51 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $4.57 Median $12.30 Typical High $14.45 | Professional | None | $4.57 | $12.30 | $14.45 |
United Setting Professional Modifier None Typical Low $3.80 Median $5.37 Typical High $6.61 | Professional | None | $3.80 | $5.37 | $6.61 |
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 $2.29 Median $7.08 Typical High $9.12 | Professional | 51 · Multiple procedures | $2.29 | $7.08 | $9.12 |
Where South Carolina sits
The same service costs 3.1 times more in Hawaii than in New Hampshire. 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
$8.51
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.