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 $2.95 Median $3.47 Typical High $4.47 | Facility | None | $2.95 | $3.47 | $4.47 |
Aetna Setting Professional Modifier None Typical Low $2.82 Median $2.95 Typical High $3.72 | Professional | None | $2.82 | $2.95 | $3.72 |
Ambetter Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $5.01 | Professional | None | $2.88 | $2.88 | $5.01 |
BCBS South Carolina Setting Facility Modifier None Typical Low $7.24 Median $16.22 Typical High $28.18 | Facility | None | $7.24 | $16.22 | $28.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.82 Median $5.25 Typical High $5.37 | Professional | None | $2.82 | $5.25 | $5.37 |
Cigna Setting Facility Modifier None Typical Low $3.16 Median $4.90 Typical High $6.92 | Facility | None | $3.16 | $4.90 | $6.92 |
Cigna Setting Professional Modifier None Typical Low $2.82 Median $2.82 Typical High $2.82 | Professional | None | $2.82 | $2.82 | $2.82 |
Medcost Setting Facility Modifier None Typical Low $2.95 Median $3.98 Typical High $8.91 | Facility | None | $2.95 | $3.98 | $8.91 |
United Setting Professional Modifier None Typical Low $2.88 Median $2.88 Typical High $3.02 | Professional | None | $2.88 | $2.88 | $3.02 |
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 $23.44 Median $23.44 Typical High $23.44 | Professional | 51 · Multiple procedures | $23.44 | $23.44 | $23.44 |
Where South Carolina sits
The same service costs 2.2 times more in Wyoming 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· 4th of 51
$4.90
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.