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 $0.23 Median $0.24 Typical High $0.24 | Facility | None | $0.23 | $0.24 | $0.24 |
Aetna Setting Professional Modifier None Typical Low $0.23 Median $0.24 Typical High $0.25 | Professional | None | $0.23 | $0.24 | $0.25 |
Ambetter Setting Professional Modifier None Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | None | $21.88 | $21.88 | $21.88 |
BCBS Setting Facility Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Facility | None | $0.28 | $0.28 | $0.28 |
BCBS Setting Professional Modifier None Typical Low $0.14 Median $0.23 Typical High $0.23 | Professional | None | $0.14 | $0.23 | $0.23 |
Cigna Setting Facility Modifier None Typical Low $0.26 Median $0.40 Typical High $0.56 | Facility | None | $0.26 | $0.40 | $0.56 |
Cigna Setting Professional Modifier None Typical Low $0.23 Median $0.23 Typical High $0.28 | Professional | None | $0.23 | $0.23 | $0.28 |
Medcost Setting Facility Modifier None Typical Low $0.12 Median $0.26 Typical High $0.52 | Facility | None | $0.12 | $0.26 | $0.52 |
Medcost Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.24 | Professional | None | $0.16 | $0.16 | $0.24 |
Molina Setting Professional Modifier None Typical Low $0.17 Median $0.17 Typical High $0.17 | Professional | None | $0.17 | $0.17 | $0.17 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.24 Typical High $0.24 | Professional | None | $0.10 | $0.24 | $0.24 |
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 $0.08 Median $0.08 Typical High $0.09 | Professional | 51 · Multiple procedures | $0.08 | $0.08 | $0.09 |
Where South Carolina sits
The same service costs 2.4 times more in Oklahoma than in Ohio. 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· 44th of 51
$0.23
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.