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 $3.09 Median $3.09 Typical High $3.09 | Facility | None | $3.09 | $3.09 | $3.09 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.09 | Professional | None | $2.95 | $3.09 | $3.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $5.50 Median $8.13 Typical High $14.45 | Facility | None | $5.50 | $8.13 | $14.45 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.95 Median $7.41 Typical High $8.13 | Professional | None | $2.95 | $7.41 | $8.13 |
Cigna Setting Facility Modifier None Typical Low $3.31 Median $5.13 Typical High $7.24 | Facility | None | $3.31 | $5.13 | $7.24 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $2.95 Typical High $2.95 | Professional | None | $2.95 | $2.95 | $2.95 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $4.17 | Professional | None | $3.02 | $3.02 | $4.17 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $4.37 Typical High $9.33 | Facility | None | $3.09 | $4.37 | $9.33 |
Medcost Setting Professional Modifier None Typical Low $2.82 Median $3.72 Typical High $6.92 | Professional | None | $2.82 | $3.72 | $6.92 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $10.00 | Professional | None | $10.00 | $10.00 | $10.00 |
United Setting Facility Modifier None Typical Low $2.95 Median $2.95 Typical High $6.31 | Facility | None | $2.95 | $2.95 | $6.31 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.09 Typical High $3.09 | Professional | None | $2.45 | $3.09 | $3.09 |
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 $1.41 Median $1.78 Typical High $3.47 | Professional | 51 · Multiple procedures | $1.41 | $1.78 | $3.47 |
Where South Carolina sits
The same service costs 2.7 times more in Wyoming than in New York. 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· 16th of 51
$3.09
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.