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 $2.51 Median $2.51 Typical High $2.51 | Facility | None | $2.51 | $2.51 | $2.51 |
Aetna Setting Professional Modifier None Typical Low $2.09 Median $2.51 Typical High $2.82 | Professional | None | $2.09 | $2.51 | $2.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.24 Median $3.31 Typical High $3.31 | Professional | None | $3.24 | $3.31 | $3.31 |
Cigna Setting Professional Modifier None Typical Low $1.62 Median $1.62 Typical High $1.62 | Professional | None | $1.62 | $1.62 | $1.62 |
Medcost Setting Facility Modifier None Typical Low $2.29 Median $2.57 Typical High $8.91 | Facility | None | $2.29 | $2.57 | $8.91 |
Medcost Setting Professional Modifier None Typical Low $2.40 Median $3.02 Typical High $3.63 | Professional | None | $2.40 | $3.02 | $3.63 |
United Setting Professional Modifier None Typical Low $1.20 Median $1.41 Typical High $1.41 | Professional | None | $1.20 | $1.41 | $1.41 |
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 $1.20 Median $1.51 Typical High $2.75 | Professional | 51 · Multiple procedures | $1.20 | $1.51 | $2.75 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii than in Maine. 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· 4th of 51
$3.24
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.