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 Professional Modifier None Typical Low $0.12 Median $0.15 Typical High $0.15 | Professional | None | $0.12 | $0.15 | $0.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.07 Median $0.07 Typical High $0.07 | Facility | None | $0.07 | $0.07 | $0.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.15 | Professional | None | $0.12 | $0.12 | $0.15 |
Cigna Setting Facility Modifier None Typical Low $0.32 Median $0.54 Typical High $0.69 | Facility | None | $0.32 | $0.54 | $0.69 |
Cigna Setting Professional Modifier None Typical Low $0.28 Median $0.28 Typical High $0.28 | Professional | None | $0.28 | $0.28 | $0.28 |
Medcost Setting Professional Modifier None Typical Low $0.16 Median $0.16 Typical High $0.16 | Professional | None | $0.16 | $0.16 | $0.16 |
Medcost Setting Facility Modifier None Typical Low $0.18 Median $0.18 Typical High $0.20 | Facility | None | $0.18 | $0.18 | $0.20 |
Medcost Setting Professional Modifier None Typical Low $0.12 Median $0.12 Typical High $0.29 | Professional | None | $0.12 | $0.12 | $0.29 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $54.95 | Professional | None | $30.20 | $30.20 | $54.95 |
United Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
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 $0.06 Median $0.06 Typical High $0.23 | Professional | 51 · Multiple procedures | $0.06 | $0.06 | $0.23 |
Where South Carolina sits
The same service costs 5.0 times more in North Carolina than in New Jersey. 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
$0.18
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.