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 $16.22 Median $16.22 Typical High $16.22 | Facility | None | $16.22 | $16.22 | $16.22 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $16.22 Typical High $17.38 | Professional | None | $12.88 | $16.22 | $17.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.42 Median $20.89 Typical High $20.89 | Professional | None | $20.42 | $20.89 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | None | $10.23 | $10.23 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $14.45 Median $16.22 Typical High $56.23 | Facility | None | $14.45 | $16.22 | $56.23 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.85 Typical High $22.91 | Professional | None | $15.14 | $15.85 | $22.91 |
United Setting Professional Modifier None Typical Low $7.08 Median $10.00 Typical High $12.88 | Professional | None | $7.08 | $10.00 | $12.88 |
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 $7.59 Median $7.94 Typical High $17.38 | Professional | 51 · Multiple procedures | $7.59 | $7.94 | $17.38 |
Where South Carolina sits
The same service costs 2.8 times more in Hawaii than in Utah. 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
$20.42
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.