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 $0.48 Median $0.48 Typical High $0.59 | Facility | None | $0.48 | $0.48 | $0.59 |
Aetna Setting Professional Modifier None Typical Low $0.46 Median $0.48 Typical High $0.48 | Professional | None | $0.46 | $0.48 | $0.48 |
Ambetter Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | None | $4.47 | $4.47 | $4.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.52 Median $3.16 Typical High $6.92 | Facility | None | $0.52 | $3.16 | $6.92 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.44 Median $0.48 Typical High $0.85 | Professional | None | $0.44 | $0.48 | $0.85 |
Cigna Setting Facility Modifier None Typical Low $0.62 Median $0.78 Typical High $1.07 | Facility | None | $0.62 | $0.78 | $1.07 |
Cigna Setting Professional Modifier None Typical Low $0.44 Median $0.44 Typical High $0.44 | Professional | None | $0.44 | $0.44 | $0.44 |
Medcost Setting Facility Modifier None Typical Low $0.48 Median $0.65 Typical High $5.62 | Facility | None | $0.48 | $0.65 | $5.62 |
Medcost Setting Professional Modifier None Typical Low $0.71 Median $0.71 Typical High $2.40 | Professional | None | $0.71 | $0.71 | $2.40 |
Molina Setting Professional Modifier None Typical Low $1.15 Median $1.41 Typical High $1.62 | Professional | None | $1.15 | $1.41 | $1.62 |
United Setting Professional Modifier None Typical Low $0.45 Median $0.56 Typical High $0.59 | Professional | None | $0.45 | $0.56 | $0.59 |
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 $0.44 Median $8.71 Typical High $8.71 | Professional | 51 · Multiple procedures | $0.44 | $8.71 | $8.71 |
Where South Carolina sits
The same service costs 3.3 times more in Wyoming than in Colorado. 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· 29th of 51
$0.48
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.