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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $56.23 | Professional | None | $47.86 | $56.23 | $56.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $70.79 | Facility | None | $64.57 | $70.79 | $70.79 |
BCBS South Carolina Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $70.79 | Professional | None | $43.65 | $50.12 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $32.36 Typical High $38.02 | Professional | None | $28.84 | $32.36 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $44.67 | Professional | None | $34.67 | $34.67 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $58.88 Typical High $85.11 | Facility | None | $19.05 | $58.88 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $52.48 Typical High $93.33 | Professional | None | $44.67 | $52.48 | $93.33 |
United Setting Professional Modifier None Typical Low $23.44 Median $33.11 Typical High $42.66 | Professional | None | $23.44 | $33.11 | $42.66 |
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 $22.39 Median $26.92 Typical High $61.66 | Professional | 51 · Multiple procedures | $22.39 | $26.92 | $61.66 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Vermont. 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· 19th of 51
$50.12
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.