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 $31.62 Median $39.81 Typical High $83.18 | Facility | None | $31.62 | $39.81 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $38.90 | Professional | None | $31.62 | $31.62 | $38.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $63.10 Median $138.04 Typical High $316.23 | Facility | None | $63.10 | $138.04 | $316.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.05 Median $40.74 Typical High $100.00 | Professional | None | $19.05 | $40.74 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $77.62 Median $123.03 Typical High $251.19 | Facility | None | $77.62 | $123.03 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $20.89 Median $26.30 Typical High $51.29 | Professional | None | $20.89 | $26.30 | $51.29 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $42.66 Typical High $288.40 | Facility | None | $30.90 | $42.66 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $72.44 Typical High $83.18 | Professional | None | $44.67 | $72.44 | $83.18 |
United Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $48.98 | Facility | None | $36.31 | $36.31 | $48.98 |
United Setting Professional Modifier None Typical Low $16.98 Median $27.54 Typical High $54.95 | Professional | None | $16.98 | $27.54 | $54.95 |
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 $15.85 Median $15.85 Typical High $16.22 | Professional | 52 · Reduced service | $15.85 | $15.85 | $16.22 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.31 Median $6.31 Typical High $6.46 | Professional | 53 · Discontinued | $6.31 | $6.31 | $6.46 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | 90 · Outside lab | $40.74 | $40.74 | $40.74 |
Where South Carolina sits
The same service costs 22.9 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
$50.12
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.