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 $20.89 Median $20.89 Typical High $20.89 | Facility | None | $20.89 | $20.89 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $18.20 Median $20.89 Typical High $20.89 | Professional | None | $18.20 | $20.89 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.85 Median $30.20 Typical High $58.88 | Facility | None | $15.85 | $30.20 | $58.88 |
Cigna Setting Facility Modifier None Typical Low $23.99 Median $40.74 Typical High $52.48 | Facility | None | $23.99 | $40.74 | $52.48 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $20.89 Median $24.55 Typical High $28.18 | Facility | None | $20.89 | $24.55 | $28.18 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $20.42 Median $20.42 Typical High $43.65 | Facility | None | $20.42 | $20.42 | $43.65 |
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 AS · PA/NP assist Typical Low $2.40 Median $2.40 Typical High $2.40 | Professional | AS · PA/NP assist | $2.40 | $2.40 | $2.40 |
Where South Carolina sits
The same service costs 39.8 times more in Alabama than in Georgia. 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· 8th of 51
$26.92
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.