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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $54.95 | Professional | None | $53.70 | $53.70 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $489.78 Median $870.96 Typical High $3,890.45 | Facility | None | $489.78 | $870.96 | $3,890.45 |
Medcost Setting Facility Modifier None Typical Low $38.02 Median $58.88 Typical High $1,995.26 | Facility | None | $38.02 | $58.88 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $38.02 Typical High $74.13 | Professional | None | $36.31 | $38.02 | $74.13 |
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 $18.20 Median $19.05 Typical High $42.66 | Professional | 51 · Multiple procedures | $18.20 | $19.05 | $42.66 |
Where South Carolina sits
The same service costs 26.3 times more in South Carolina 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· 1st of 51
$794
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.