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 $24.55 Median $24.55 Typical High $24.55 | Facility | None | $24.55 | $24.55 | $24.55 |
Aetna Setting Professional Modifier None Typical Low $23.44 Median $24.55 Typical High $24.55 | Professional | None | $23.44 | $24.55 | $24.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $15.49 Median $23.44 Typical High $40.74 | Facility | None | $15.49 | $23.44 | $40.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $23.44 Median $23.99 Typical High $25.70 | Professional | None | $23.44 | $23.99 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $38.02 Typical High $57.54 | Facility | None | $33.11 | $38.02 | $57.54 |
Cigna Setting Professional Modifier None Typical Low $23.44 Median $23.44 Typical High $23.44 | Professional | None | $23.44 | $23.44 | $23.44 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $29.51 Typical High $58.88 | Facility | None | $24.55 | $29.51 | $58.88 |
Medcost Setting Professional Modifier None Typical Low $16.60 Median $16.60 Typical High $26.92 | Professional | None | $16.60 | $16.60 | $26.92 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $56.23 Typical High $57.54 | Professional | None | $30.20 | $56.23 | $57.54 |
United Setting Facility Modifier None Typical Low $23.44 Median $23.44 Typical High $50.12 | Facility | None | $23.44 | $23.44 | $50.12 |
United Setting Professional Modifier None Typical Low $18.20 Median $22.39 Typical High $23.99 | Professional | None | $18.20 | $22.39 | $23.99 |
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 $8.32 Median $8.32 Typical High $14.13 | Professional | 51 · Multiple procedures | $8.32 | $8.32 | $14.13 |
Where South Carolina sits
Rates are fairly even across states for this service. 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· 43rd of 51
$23.44
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.