How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $5.50 Median $5.50 Typical High $54.95 | Facility | None | $5.50 | $5.50 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $5.37 Median $13.80 Typical High $54.95 | Professional | None | $5.37 | $13.80 | $54.95 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.10 Median $6.92 Typical High $10.96 | Professional | 53 · Discontinued | $1.10 | $6.92 | $10.96 |
Ambetter Setting Professional Modifier None Typical Low $6.76 Median $7.24 Typical High $9.12 | Professional | None | $6.76 | $7.24 | $9.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.13 Median $60.26 Typical High $67.61 | Professional | None | $5.13 | $60.26 | $67.61 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | None | $53.70 | $53.70 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $5.50 Median $15.49 Typical High $74.13 | Facility | None | $5.50 | $15.49 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $61.66 | Professional | None | $53.70 | $53.70 | $61.66 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | None | $60.26 | $77.62 | $120.23 |
United Setting Professional Modifier None Typical Low $5.01 Median $37.15 Typical High $69.18 | Professional | None | $5.01 | $37.15 | $69.18 |
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 $26.92 Median $26.92 Typical High $38.90 | Professional | 51 · Multiple procedures | $26.92 | $26.92 | $38.90 |
Where South Carolina sits
The same service costs 7.6 times more in Washington than in Michigan. 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· 12th of 51
$54.95
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.