How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $323.59 Median $323.59 Typical High $323.59 | Facility | None | $323.59 | $323.59 | $323.59 |
Aetna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $371.54 | Professional | None | $323.59 | $323.59 | $371.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $676.08 Median $1,174.90 Typical High $3,890.45 | Facility | None | $676.08 | $1,174.90 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $323.59 Median $363.08 Typical High $1,479.11 | Facility | None | $323.59 | $363.08 | $1,479.11 |
Medcost Setting Professional Modifier None Typical Low $371.54 Median $389.05 Typical High $549.54 | Professional | None | $371.54 | $389.05 | $549.54 |
Molina Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $54.95 | Professional | None | $54.95 | $54.95 | $54.95 |
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 $186.21 Median $194.98 Typical High $338.84 | Professional | 51 · Multiple procedures | $186.21 | $194.98 | $338.84 |
Where South Carolina sits
The same service costs 9.5 times more in Texas than in West Virginia. 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· 7th of 51
$871
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.