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 $3.89 Median $4.79 Typical High $10.47 | Facility | None | $3.89 | $4.79 | $10.47 |
Aetna Setting Professional Modifier None Typical Low $3.89 Median $3.89 Typical High $5.89 | Professional | None | $3.89 | $3.89 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $4.90 | Professional | None | $3.47 | $3.47 | $4.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $7.94 Median $19.50 Typical High $46.77 | Facility | None | $7.94 | $19.50 | $46.77 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $8.91 Typical High $12.02 | Professional | None | $6.03 | $8.91 | $12.02 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $4.90 Median $4.90 Typical High $5.25 | Professional | QW · Waived lab test | $4.90 | $4.90 | $5.25 |
Cigna Setting Facility Modifier None Typical Low $9.33 Median $14.79 Typical High $30.20 | Facility | None | $9.33 | $14.79 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.16 Typical High $6.46 | Professional | None | $2.45 | $3.16 | $6.46 |
Medcost Setting Facility Modifier None Typical Low $3.72 Median $5.25 Typical High $37.15 | Facility | None | $3.72 | $5.25 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $8.91 | Professional | None | $5.01 | $7.94 | $8.91 |
United Setting Facility Modifier None Typical Low $4.47 Median $4.47 Typical High $5.89 | Facility | None | $4.47 | $4.47 | $5.89 |
United Setting Professional Modifier None Typical Low $2.09 Median $3.39 Typical High $6.92 | Professional | None | $2.09 | $3.39 | $6.92 |
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 $1.95 Median $1.95 Typical High $2.00 | Professional | 52 · Reduced service | $1.95 | $1.95 | $2.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.78 Median $0.78 Typical High $0.79 | Professional | 53 · Discontinued | $0.78 | $0.78 | $0.79 |
Where South Carolina sits
The same service costs 9.3 times more in Vermont than in Georgia. 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· 4th of 51
$10.23
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.