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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $61.66 | Professional | None | $58.88 | $58.88 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $56.23 Median $81.28 Typical High $154.88 | Facility | None | $56.23 | $81.28 | $154.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $63.10 Median $69.18 Typical High $70.79 | Professional | None | $63.10 | $69.18 | $70.79 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $151.36 | Facility | None | $87.10 | $117.49 | $151.36 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $56.23 Median $72.44 Typical High $112.20 | Facility | None | $56.23 | $72.44 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $77.62 | Professional | None | $45.71 | $45.71 | $77.62 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $134.90 | Facility | None | $61.66 | $61.66 | $134.90 |
United Setting Professional Modifier None Typical Low $47.86 Median $61.66 Typical High $64.57 | Professional | None | $47.86 | $61.66 | $64.57 |
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 $22.91 Median $22.91 Typical High $47.86 | Professional | 51 · Multiple procedures | $22.91 | $22.91 | $47.86 |
Where South Carolina sits
The same service costs 1.5 times more in Alaska than in Arizona. 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· 38th of 51
$61.66
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.