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 $43.65 Median $43.65 Typical High $43.65 | Facility | None | $43.65 | $43.65 | $43.65 |
Aetna Setting Professional Modifier None (both parts) Typical Low $43.65 Median $43.65 Typical High $45.71 | Professional | None (both parts) | $43.65 | $43.65 | $45.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $52.48 Typical High $87.10 | Facility | None | $31.62 | $52.48 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $87.10 Typical High $112.20 | Facility | None | $51.29 | $87.10 | $112.20 |
Cigna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None (both parts) | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $52.48 Typical High $75.86 | Facility | None | $43.65 | $52.48 | $75.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
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 TC · Technical part Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | TC · Technical part | $21.38 | $21.38 | $21.38 |
Where South Carolina sits
The same service costs 17.8 times more in Alabama than in North Dakota. 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· 10th of 51
$52.48
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.