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 $2.40 Median $2.40 Typical High $2.40 | Facility | None | $2.40 | $2.40 | $2.40 |
Aetna Setting Professional Modifier None Typical Low $2.40 Median $2.40 Typical High $3.47 | Professional | None | $2.40 | $2.40 | $3.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3.39 Median $8.32 Typical High $16.60 | Facility | None | $3.39 | $8.32 | $16.60 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.29 Median $3.39 Typical High $4.57 | Professional | None | $2.29 | $3.39 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $3.98 Typical High $5.62 | Facility | None | $2.57 | $3.98 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medcost Setting Facility Modifier None Typical Low $2.40 Median $3.24 Typical High $8.91 | Facility | None | $2.40 | $3.24 | $8.91 |
United Setting Professional Modifier None Typical Low $2.45 Median $2.45 Typical High $2.75 | Professional | None | $2.45 | $2.45 | $2.75 |
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 $21.38 Median $22.39 Typical High $22.39 | Professional | 51 · Multiple procedures | $21.38 | $22.39 | $22.39 |
Where South Carolina sits
The same service costs 4.8 times more in Oklahoma 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· 9th of 51
$2.95
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.