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 $0.41 Median $0.50 Typical High $1.26 | Facility | None | $0.41 | $0.50 | $1.26 |
Aetna Setting Professional Modifier None Typical Low $0.41 Median $0.42 Typical High $1.12 | Professional | None | $0.41 | $0.42 | $1.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.81 Median $7.41 Typical High $9.77 | Facility | None | $0.81 | $7.41 | $9.77 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.26 Median $0.40 Typical High $0.43 | Professional | None | $0.26 | $0.40 | $0.43 |
Cigna Setting Facility Modifier None Typical Low $0.45 Median $0.71 Typical High $0.98 | Facility | None | $0.45 | $0.71 | $0.98 |
Cigna Setting Professional Modifier None Typical Low $0.40 Median $0.40 Typical High $0.40 | Professional | None | $0.40 | $0.40 | $0.40 |
Medcost Setting Facility Modifier None Typical Low $0.42 Median $0.58 Typical High $1.58 | Facility | None | $0.42 | $0.58 | $1.58 |
United Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.47 | Professional | None | $0.43 | $0.43 | $0.47 |
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 $0.74 Median $5.01 Typical High $8.51 | Professional | 51 · Multiple procedures | $0.74 | $5.01 | $8.51 |
Where South Carolina sits
The same service costs 4.0 times more in Texas than in Georgia. 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· 49th of 51
$0.41
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.