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 $5.89 Median $5.89 Typical High $5.89 | Facility | None | $5.89 | $5.89 | $5.89 |
Aetna Setting Professional Modifier None Typical Low $4.79 Median $5.89 Typical High $6.46 | Professional | None | $4.79 | $5.89 | $6.46 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.59 Median $7.76 Typical High $7.76 | Professional | None | $7.59 | $7.76 | $7.76 |
Cigna Setting Professional Modifier None Typical Low $3.80 Median $3.80 Typical High $3.80 | Professional | None | $3.80 | $3.80 | $3.80 |
Medcost Setting Facility Modifier None Typical Low $5.25 Median $5.89 Typical High $20.89 | Facility | None | $5.25 | $5.89 | $20.89 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $6.03 Typical High $8.51 | Professional | None | $5.01 | $6.03 | $8.51 |
United Setting Professional Modifier None Typical Low $2.63 Median $3.72 Typical High $4.79 | Professional | None | $2.63 | $3.72 | $4.79 |
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 $2.75 Median $3.02 Typical High $6.31 | Professional | 51 · Multiple procedures | $2.75 | $3.02 | $6.31 |
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· 5th of 51
$7.41
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.