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 $6.76 Median $8.32 Typical High $13.80 | Facility | None | $6.76 | $8.32 | $13.80 |
Aetna Setting Professional Modifier None Typical Low $6.76 Median $6.76 Typical High $12.02 | Professional | None | $6.76 | $6.76 | $12.02 |
Ambetter Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $13.49 | Professional | None | $6.61 | $8.71 | $13.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.00 Median $19.95 Typical High $112.20 | Facility | None | $10.00 | $19.95 | $112.20 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $8.71 Typical High $15.85 | Professional | None | $3.98 | $8.71 | $15.85 |
Cigna Setting Facility Modifier None Typical Low $16.22 Median $25.70 Typical High $53.70 | Facility | None | $16.22 | $25.70 | $53.70 |
Cigna Setting Professional Modifier None Typical Low $3.98 Median $4.90 Typical High $10.23 | Professional | None | $3.98 | $4.90 | $10.23 |
Medcost Setting Facility Modifier None Typical Low $6.03 Median $8.91 Typical High $45.71 | Facility | None | $6.03 | $8.91 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $7.08 Median $12.02 Typical High $16.98 | Professional | None | $7.08 | $12.02 | $16.98 |
United Setting Facility Modifier None Typical Low $7.76 Median $7.76 Typical High $10.23 | Facility | None | $7.76 | $7.76 | $10.23 |
United Setting Professional Modifier None Typical Low $4.79 Median $6.92 Typical High $8.91 | Professional | None | $4.79 | $6.92 | $8.91 |
3 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 $3.39 Median $3.39 Typical High $3.47 | Professional | 52 · Reduced service | $3.39 | $3.39 | $3.47 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.35 Median $1.35 Typical High $1.38 | Professional | 53 · Discontinued | $1.35 | $1.35 | $1.38 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $8.71 Typical High $13.49 | Professional | QW · Waived lab test | $4.27 | $8.71 | $13.49 |
Where South Carolina sits
The same service costs 15.8 times more in Minnesota than in Alabama. 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· 21st of 51
$9.12
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.