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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $36.31 | Professional | None | $29.51 | $36.31 | $36.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $41.69 Median $45.71 Typical High $45.71 | Facility | None | $41.69 | $45.71 | $45.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $45.71 | Professional | None | $26.92 | $30.20 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $28.84 | Professional | None | $21.38 | $21.38 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $19.95 | Professional | None | $19.95 | $19.95 | $19.95 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $38.02 Typical High $54.95 | Facility | None | $11.48 | $38.02 | $54.95 |
Medcost Setting Professional Modifier None Typical Low $29.51 Median $36.31 Typical High $60.26 | Professional | None | $29.51 | $36.31 | $60.26 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
United Setting Professional Modifier None Typical Low $15.85 Median $21.38 Typical High $30.90 | Professional | None | $15.85 | $21.38 | $30.90 |
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 $14.79 Median $18.20 Typical High $39.81 | Professional | 51 · Multiple procedures | $14.79 | $18.20 | $39.81 |
Where South Carolina sits
The same service costs 2.2 times more in Montana 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· 22nd of 51
$30.20
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.