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 $8.71 Median $8.71 Typical High $9.33 | Facility | None | $8.71 | $8.71 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $8.71 Median $9.33 Typical High $10.00 | Professional | None | $8.71 | $9.33 | $10.00 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.37 Median $4.68 Typical High $5.01 | Professional | 52 · Reduced service | $4.37 | $4.68 | $5.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $89.13 | Facility | None | $38.02 | $38.02 | $89.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $9.77 Median $12.30 Typical High $12.30 | Professional | None | $9.77 | $12.30 | $12.30 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $9.33 Median $11.22 Typical High $31.62 | Facility | None | $9.33 | $11.22 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $14.45 | Professional | None | $8.51 | $8.51 | $14.45 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $10.72 Median $13.18 Typical High $19.50 | Professional | None | $10.72 | $13.18 | $19.50 |
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 $4.27 Median $4.27 Typical High $9.12 | Professional | 51 · Multiple procedures | $4.27 | $4.27 | $9.12 |
Where South Carolina sits
The same service costs 6.3 times more in Alaska than in Arizona. 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· 42nd of 51
$9.77
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.