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 $0.22 Median $0.28 Typical High $0.62 | Facility | None | $0.22 | $0.28 | $0.62 |
Aetna Setting Professional Modifier None Typical Low $0.21 Median $0.22 Typical High $0.22 | Professional | None | $0.21 | $0.22 | $0.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.10 Median $0.20 Typical High $8.91 | Facility | None | $0.10 | $0.20 | $8.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.20 Median $0.52 Typical High $0.63 | Professional | None | $0.20 | $0.52 | $0.63 |
Cigna Setting Facility Modifier None Typical Low $0.24 Median $0.37 Typical High $0.52 | Facility | None | $0.24 | $0.37 | $0.52 |
Cigna Setting Professional Modifier None Typical Low $0.21 Median $0.21 Typical High $0.21 | Professional | None | $0.21 | $0.21 | $0.21 |
Medcost Setting Professional Modifier None Typical Low $0.18 Median $0.18 Typical High $0.18 | Professional | None | $0.18 | $0.18 | $0.18 |
Medcost Setting Facility Modifier None Typical Low $0.22 Median $0.24 Typical High $0.63 | Facility | None | $0.22 | $0.24 | $0.63 |
Medcost Setting Professional Modifier None Typical Low $0.16 Median $0.22 Typical High $0.68 | Professional | None | $0.16 | $0.22 | $0.68 |
United Setting Professional Modifier None Typical Low $0.22 Median $0.22 Typical High $0.24 | Professional | None | $0.22 | $0.22 | $0.24 |
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 $0.08 Median $0.11 Typical High $0.21 | Professional | 51 · Multiple procedures | $0.08 | $0.11 | $0.21 |
Where South Carolina sits
The same service costs 2.7 times more in Wyoming than in New Hampshire. 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· 19th of 51
$0.22
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.