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 $34.67 Median $34.67 Typical High $34.67 | Facility | None | $34.67 | $34.67 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $34.67 Typical High $34.67 | Professional | None | $32.36 | $34.67 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $77.62 Typical High $186.21 | Facility | None | $61.66 | $77.62 | $186.21 |
BCBS South Carolina Setting Professional Modifier None Typical Low $32.36 Median $48.98 Typical High $51.29 | Professional | None | $32.36 | $48.98 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $57.54 Typical High $79.43 | Facility | None | $45.71 | $57.54 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $60.26 Typical High $93.33 | Facility | None | $34.67 | $60.26 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $61.66 | Professional | None | $42.66 | $47.86 | $61.66 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $51.29 Typical High $81.28 | Professional | None | $30.20 | $51.29 | $81.28 |
United Setting Facility Modifier None Typical Low $32.36 Median $32.36 Typical High $70.79 | Facility | None | $32.36 | $32.36 | $70.79 |
United Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $31.62 | Professional | None | $23.99 | $30.90 | $31.62 |
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 $23.99 Median $25.12 Typical High $32.36 | Professional | 51 · Multiple procedures | $23.99 | $25.12 | $32.36 |
Where South Carolina sits
The same service costs 1.6 times more in Wyoming than in Maine. 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· 8th of 51
$34.67
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.