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 $0.08 Median $0.08 Typical High $0.10 | Facility | None | $0.08 | $0.08 | $0.10 |
Aetna Setting Professional Modifier None Typical Low $0.08 Median $0.08 Typical High $0.09 | Professional | None | $0.08 | $0.08 | $0.09 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $0.04 Median $0.04 Typical High $0.05 | Professional | 52 · Reduced service | $0.04 | $0.04 | $0.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.02 Median $0.02 Typical High $0.02 | Professional | 53 · Discontinued | $0.02 | $0.02 | $0.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.06 Median $0.06 Typical High $0.06 | Facility | None | $0.06 | $0.06 | $0.06 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.43 Median $0.43 Typical High $0.44 | Professional | None | $0.43 | $0.43 | $0.44 |
Cigna Setting Facility Modifier None Typical Low $0.10 Median $0.17 Typical High $0.22 | Facility | None | $0.10 | $0.17 | $0.22 |
Cigna Setting Professional Modifier None Typical Low $0.09 Median $0.09 Typical High $0.09 | Professional | None | $0.09 | $0.09 | $0.09 |
Medcost Setting Professional Modifier None Typical Low $0.42 Median $0.44 Typical High $0.44 | Professional | None | $0.42 | $0.44 | $0.44 |
Medcost Setting Facility Modifier None Typical Low $0.07 Median $0.09 Typical High $0.11 | Facility | None | $0.07 | $0.09 | $0.11 |
Medcost Setting Professional Modifier None Typical Low $0.14 Median $0.74 Typical High $1.00 | Professional | None | $0.14 | $0.74 | $1.00 |
Molina Setting Professional Modifier None Typical Low $0.21 Median $30.20 Typical High $54.95 | Professional | None | $0.21 | $30.20 | $54.95 |
United Setting Professional Modifier None Typical Low $0.06 Median $0.08 Typical High $0.08 | Professional | None | $0.06 | $0.08 | $0.08 |
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 $0.21 Median $0.46 Typical High $0.50 | Professional | 51 · Multiple procedures | $0.21 | $0.46 | $0.50 |
Where South Carolina sits
The same service costs 14.8 times more in Montana than in Hawaii. 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· 5th of 51
$0.09
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.