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 $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.80 Typical High $4.07 | Professional | None | $2.95 | $3.80 | $4.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4.79 Median $4.90 Typical High $4.90 | Professional | None | $4.79 | $4.90 | $4.90 |
Cigna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | None | $2.40 | $2.40 | $2.40 |
Medcost Setting Facility Modifier None Typical Low $3.39 Median $3.80 Typical High $13.18 | Facility | None | $3.39 | $3.80 | $13.18 |
Medcost Setting Professional Modifier None Typical Low $3.09 Median $3.98 Typical High $5.37 | Professional | None | $3.09 | $3.98 | $5.37 |
United Setting Professional Modifier None Typical Low $1.66 Median $2.34 Typical High $3.02 | Professional | None | $1.66 | $2.34 | $3.02 |
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 $1.78 Median $2.00 Typical High $4.07 | Professional | 51 · Multiple procedures | $1.78 | $2.00 | $4.07 |
Where South Carolina sits
The same service costs 3.0 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· 6th of 51
$4.79
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.