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 $25.70 Median $25.70 Typical High $25.70 | Facility | None | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $25.70 Typical High $26.30 | Professional | None | $21.38 | $25.70 | $26.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.62 Median $28.84 Typical High $56.23 | Facility | None | $18.62 | $28.84 | $56.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $25.12 Typical High $29.51 | Professional | None | $24.55 | $25.12 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $42.66 Typical High $60.26 | Facility | None | $28.18 | $42.66 | $60.26 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | None | $24.55 | $24.55 | $24.55 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $30.90 Typical High $66.07 | Facility | None | $25.70 | $30.90 | $66.07 |
United Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $52.48 | Facility | None | $24.55 | $24.55 | $52.48 |
United Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $26.30 | Professional | None | $23.99 | $23.99 | $26.30 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $24.55 Median $24.55 Typical High $24.55 | Professional | 59 · Distinct service | $24.55 | $24.55 | $24.55 |
Where South Carolina sits
The same service costs 1.6 times more in Alaska than in Mississippi. 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· 18th of 51
$25.70
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.