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 $194.98 Median $194.98 Typical High $194.98 | Facility | None | $194.98 | $194.98 | $194.98 |
Aetna Setting Professional Modifier None Typical Low $181.97 Median $194.98 Typical High $194.98 | Professional | None | $181.97 | $194.98 | $194.98 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $91.20 Median $97.72 Typical High $97.72 | Professional | 52 · Reduced service | $91.20 | $97.72 | $97.72 |
BCBS South Carolina Setting Professional Modifier None Typical Low $218.78 Median $223.87 Typical High $239.88 | Professional | None | $218.78 | $223.87 | $239.88 |
Cigna Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | None | $162.18 | $162.18 | $162.18 |
Medcost Setting Facility Modifier None Typical Low $194.98 Median $213.80 Typical High $524.81 | Facility | None | $194.98 | $213.80 | $524.81 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $218.78 | Professional | None | $186.21 | $186.21 | $218.78 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $204.17 Typical High $316.23 | Professional | None | $162.18 | $204.17 | $316.23 |
United Setting Professional Modifier None Typical Low $158.49 Median $190.55 Typical High $295.12 | Professional | None | $158.49 | $190.55 | $295.12 |
2 more rates 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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier 29 Typical Low $173.78 Median $173.78 Typical High $177.83 | Professional | 29 | $173.78 | $173.78 | $177.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $93.33 Median $93.33 Typical High $138.04 | Professional | 51 · Multiple procedures | $93.33 | $93.33 | $138.04 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in Texas. 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· 27th of 51
$195
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.