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 $104.71 Median $104.71 Typical High $104.71 | Facility | None | $104.71 | $104.71 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $104.71 Typical High $114.82 | Professional | None | $102.33 | $104.71 | $114.82 |
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 |
BCBS South Carolina Setting Professional Modifier None Typical Low $85.11 Median $128.82 Typical High $151.36 | Professional | None | $85.11 | $128.82 | $151.36 |
Medcost Setting Facility Modifier None Typical Low $95.50 Median $117.49 Typical High $1,995.26 | Facility | None | $95.50 | $117.49 | $1,995.26 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $93.33 Typical High $154.88 | Professional | None | $91.20 | $93.33 | $154.88 |
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 $45.71 Median $46.77 Typical High $104.71 | Professional | 51 · Multiple procedures | $45.71 | $46.77 | $104.71 |
Where South Carolina sits
The same service costs 61.7 times more in Oklahoma 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· 16th of 51
$209
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.