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 $70.79 Median $70.79 Typical High $70.79 | Facility | None | $70.79 | $70.79 | $70.79 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $70.79 Typical High $77.62 | Professional | None | $38.90 | $70.79 | $77.62 |
Ambetter Setting Professional Modifier None Typical Low $41.69 Median $63.10 Typical High $95.50 | Professional | None | $41.69 | $63.10 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $91.20 Typical High $91.20 | Facility | None | $81.28 | $91.20 | $91.20 |
BCBS South Carolina Setting Professional Modifier None Typical Low $54.95 Median $58.88 Typical High $91.20 | Professional | None | $54.95 | $58.88 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Cigna Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $58.88 | Professional | None | $43.65 | $43.65 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | None | $44.67 | $44.67 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $77.62 Typical High $144.54 | Facility | None | $25.70 | $77.62 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $58.88 Median $70.79 Typical High $117.49 | Professional | None | $58.88 | $70.79 | $117.49 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | None | $60.26 | $60.26 | $60.26 |
United Setting Professional Modifier None Typical Low $33.11 Median $43.65 Typical High $63.10 | Professional | None | $33.11 | $43.65 | $63.10 |
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 $29.51 Median $34.67 Typical High $79.43 | Professional | 51 · Multiple procedures | $29.51 | $34.67 | $79.43 |
Where South Carolina sits
The same service costs 2.2 times more in Idaho than in Colorado. 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
$58.88
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.