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 $6.31 Median $6.31 Typical High $13.18 | Facility | None | $6.31 | $6.31 | $13.18 |
Aetna Setting Professional Modifier None Typical Low $6.31 Median $6.31 Typical High $7.59 | Professional | None | $6.31 | $6.31 | $7.59 |
Ambetter Setting Professional Modifier None Typical Low $6.92 Median $6.92 Typical High $8.13 | Professional | None | $6.92 | $6.92 | $8.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $24.55 Median $50.12 Typical High $114.82 | Facility | None | $24.55 | $50.12 | $114.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1.00 Median $8.91 Typical High $16.98 | Professional | None | $1.00 | $8.91 | $16.98 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $8.13 Median $8.13 Typical High $8.71 | Professional | QW · Waived lab test | $8.13 | $8.13 | $8.71 |
Cigna Setting Facility Modifier None Typical Low $15.49 Median $20.89 Typical High $50.12 | Facility | None | $15.49 | $20.89 | $50.12 |
Cigna Setting Professional Modifier None Typical Low $4.07 Median $5.37 Typical High $10.47 | Professional | None | $4.07 | $5.37 | $10.47 |
Medcost Setting Facility Modifier None Typical Low $5.75 Median $8.51 Typical High $48.98 | Facility | None | $5.75 | $8.51 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $8.91 Median $12.88 Typical High $23.44 | Professional | None | $8.91 | $12.88 | $23.44 |
United Setting Facility Modifier None Typical Low $7.41 Median $7.41 Typical High $9.77 | Facility | None | $7.41 | $7.41 | $9.77 |
United Setting Professional Modifier None Typical Low $4.90 Median $6.92 Typical High $9.77 | Professional | None | $4.90 | $6.92 | $9.77 |
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 $3.16 Median $3.16 Typical High $3.24 | Professional | 52 · Reduced service | $3.16 | $3.16 | $3.24 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.26 Median $1.26 Typical High $1.32 | Professional | 53 · Discontinued | $1.26 | $1.26 | $1.32 |
Where South Carolina sits
The same service costs 7.1 times more in Minnesota than in Maryland. 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· 5th of 51
$16.60
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.