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 $42.66 Median $51.29 Typical High $93.33 | Facility | None | $42.66 | $51.29 | $93.33 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $56.23 | Professional | None | $40.74 | $42.66 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $67.61 | Professional | None | $60.26 | $60.26 | $67.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $75.86 Typical High $263.03 | Facility | None | $67.61 | $75.86 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $100.00 Typical High $114.82 | Professional | None | $40.74 | $100.00 | $114.82 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $100.00 | Facility | None | $45.71 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $57.54 Typical High $194.98 | Facility | None | $42.66 | $57.54 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $54.95 Median $64.57 Typical High $169.82 | Professional | None | $54.95 | $64.57 | $169.82 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | None | $39.81 | $39.81 | $43.65 |
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 $30.90 Median $32.36 Typical High $50.12 | Professional | 51 · Multiple procedures | $30.90 | $32.36 | $50.12 |
Where South Carolina sits
The same service costs 4.7 times more in Wyoming than in Utah. 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
$46.77
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.