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 $15.85 Median $15.85 Typical High $15.85 | Facility | None | $15.85 | $15.85 | $15.85 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $15.85 Typical High $24.55 | Professional | None | $15.85 | $15.85 | $24.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $60.26 | Facility | None | $22.91 | $22.91 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.13 Median $20.42 Typical High $34.67 | Professional | None | $14.13 | $20.42 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $51.29 Typical High $125.89 | Facility | None | $38.02 | $51.29 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | None | $10.72 | $10.72 | $10.72 |
Medcost Setting Facility Modifier None Typical Low $15.85 Median $21.38 Typical High $58.88 | Facility | None | $15.85 | $21.38 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $30.20 | Professional | None | $24.55 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $18.20 Median $18.20 Typical High $24.55 | Facility | None | $18.20 | $18.20 | $24.55 |
United Setting Professional Modifier None Typical Low $8.51 Median $12.02 Typical High $20.42 | Professional | None | $8.51 | $12.02 | $20.42 |
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 $14.45 Median $15.14 Typical High $15.14 | Professional | 51 · Multiple procedures | $14.45 | $15.14 | $15.14 |
Where South Carolina sits
The same service costs 4.7 times more in Alaska than in Delaware. 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· 28th of 51
$22.91
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.