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 $8.32 Median $13.18 Typical High $141.25 | Facility | None | $8.32 | $13.18 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $8.32 Median $8.32 Typical High $14.79 | Professional | None | $8.32 | $8.32 | $14.79 |
Ambetter Setting Professional Modifier None Typical Low $5.25 Median $10.47 Typical High $19.50 | Professional | None | $5.25 | $10.47 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $39.81 Median $107.15 Typical High $288.40 | Facility | None | $39.81 | $107.15 | $288.40 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $23.99 | Professional | None | $10.96 | $15.85 | $23.99 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $10.47 Median $10.47 Typical High $11.22 | Professional | QW · Waived lab test | $10.47 | $10.47 | $11.22 |
Cigna Setting Facility Modifier None Typical Low $19.95 Median $31.62 Typical High $66.07 | Facility | None | $19.95 | $31.62 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $5.37 Median $6.76 Typical High $13.49 | Professional | None | $5.37 | $6.76 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $7.94 Median $10.96 Typical High $70.79 | Facility | None | $7.94 | $10.96 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $18.20 Typical High $37.15 | Professional | None | $8.91 | $18.20 | $37.15 |
United Setting Facility Modifier None Typical Low $9.55 Median $9.55 Typical High $12.59 | Facility | None | $9.55 | $9.55 | $12.59 |
United Setting Professional Modifier None Typical Low $4.47 Median $6.46 Typical High $13.49 | Professional | None | $4.47 | $6.46 | $13.49 |
2 more rates 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $4.07 Median $4.07 Typical High $4.27 | Professional | 52 · Reduced service | $4.07 | $4.07 | $4.27 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.66 Median $1.66 Typical High $1.70 | Professional | 53 · Discontinued | $1.66 | $1.66 | $1.70 |
Where South Carolina sits
The same service costs 19.5 times more in Minnesota than in Kentucky. 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· 12th of 51
$18.20
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.