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 $0.36 Median $0.36 Typical High $0.36 | Facility | None | $0.36 | $0.36 | $0.36 |
Aetna Setting Professional Modifier None Typical Low $0.33 Median $0.36 Typical High $0.36 | Professional | None | $0.33 | $0.36 | $0.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.42 Median $0.42 Typical High $0.42 | Facility | None | $0.42 | $0.42 | $0.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.34 Median $0.43 Typical High $1.41 | Professional | None | $0.34 | $0.43 | $1.41 |
Cigna Setting Facility Modifier None Typical Low $0.38 Median $0.59 Typical High $0.83 | Facility | None | $0.38 | $0.59 | $0.83 |
Cigna Setting Professional Modifier None Typical Low $0.34 Median $0.34 Typical High $0.42 | Professional | None | $0.34 | $0.34 | $0.42 |
Medcost Setting Facility Modifier None Typical Low $0.28 Median $0.40 Typical High $2.57 | Facility | None | $0.28 | $0.40 | $2.57 |
Medcost Setting Professional Modifier None Typical Low $0.36 Median $1.20 Typical High $1.58 | Professional | None | $0.36 | $1.20 | $1.58 |
Molina Setting Professional Modifier None Typical Low $0.26 Median $0.26 Typical High $0.26 | Professional | None | $0.26 | $0.26 | $0.26 |
United Setting Professional Modifier None Typical Low $0.13 Median $0.32 Typical High $0.32 | Professional | None | $0.13 | $0.32 | $0.32 |
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 $0.59 Median $0.59 Typical High $0.79 | Professional | 51 · Multiple procedures | $0.59 | $0.59 | $0.79 |
Where South Carolina sits
The same service costs 7.2 times more in Wyoming than in Louisiana. 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· 37th of 51
$0.34
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.