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 $4.47 Median $5.75 Typical High $16.60 | Facility | None | $4.47 | $5.75 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $6.92 | Professional | None | $4.47 | $4.47 | $6.92 |
Ambetter Setting Professional Modifier None Typical Low $4.90 Median $5.75 Typical High $10.72 | Professional | None | $4.90 | $5.75 | $10.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $19.05 Median $36.31 Typical High $100.00 | Facility | None | $19.05 | $36.31 | $100.00 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $8.32 Typical High $15.14 | Professional | None | $7.08 | $8.32 | $15.14 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $5.75 Median $5.75 Typical High $6.17 | Professional | QW · Waived lab test | $5.75 | $5.75 | $6.17 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $17.38 Typical High $36.31 | Facility | None | $10.96 | $17.38 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $2.95 Median $3.72 Typical High $7.41 | Professional | None | $2.95 | $3.72 | $7.41 |
Medcost Setting Facility Modifier None Typical Low $4.37 Median $6.03 Typical High $41.69 | Facility | None | $4.37 | $6.03 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.96 Typical High $16.22 | Professional | None | $6.03 | $10.96 | $16.22 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $6.92 | Facility | None | $5.25 | $5.25 | $6.92 |
United Setting Professional Modifier None Typical Low $2.45 Median $4.07 Typical High $8.32 | Professional | None | $2.45 | $4.07 | $8.32 |
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 $2.24 Median $2.24 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.89 | $0.91 |
Where South Carolina sits
The same service costs 12.9 times more in Vermont 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· 12th of 51
$9.33
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.