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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $117.49 | Professional | None | $95.50 | $117.49 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $151.36 Typical High $151.36 | Facility | None | $134.90 | $151.36 | $151.36 |
BCBS South Carolina Setting Professional Modifier None Typical Low $91.20 Median $100.00 Typical High $151.36 | Professional | None | $91.20 | $100.00 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $89.13 | Professional | None | $74.13 | $74.13 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $95.50 | Professional | None | $74.13 | $74.13 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $39.81 Median $123.03 Typical High $181.97 | Facility | None | $39.81 | $123.03 | $181.97 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $112.20 Typical High $194.98 | Professional | None | $95.50 | $112.20 | $194.98 |
United Setting Professional Modifier None Typical Low $48.98 Median $69.18 Typical High $89.13 | Professional | None | $48.98 | $69.18 | $89.13 |
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 $47.86 Median $56.23 Typical High $128.82 | Professional | 51 · Multiple procedures | $47.86 | $56.23 | $128.82 |
Where South Carolina sits
The same service costs 2.1 times more in Idaho than in Delaware. 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· 21st of 51
$100
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.