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 $4.68 Median $4.68 Typical High $9.55 | Facility | None | $4.68 | $4.68 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $4.68 Median $4.68 Typical High $6.17 | Professional | None | $4.68 | $4.68 | $6.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.62 Median $33.88 Typical High $70.79 | Facility | None | $18.62 | $33.88 | $70.79 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $7.08 Typical High $15.14 | Professional | None | $6.03 | $7.08 | $15.14 |
Cigna Setting Facility Modifier None Typical Low $11.48 Median $18.20 Typical High $38.02 | Facility | None | $11.48 | $18.20 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $3.09 Median $3.89 Typical High $7.41 | Professional | None | $3.09 | $3.89 | $7.41 |
Medcost Setting Facility Modifier None Typical Low $4.57 Median $6.03 Typical High $10.00 | Facility | None | $4.57 | $6.03 | $10.00 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $9.33 Typical High $10.96 | Professional | None | $6.03 | $9.33 | $10.96 |
United Setting Facility Modifier None Typical Low $5.37 Median $5.37 Typical High $7.24 | Facility | None | $5.37 | $5.37 | $7.24 |
United Setting Professional Modifier None Typical Low $2.51 Median $4.07 Typical High $8.51 | Professional | None | $2.51 | $4.07 | $8.51 |
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 $2.34 Median $2.34 Typical High $2.40 | Professional | 52 · Reduced service | $2.34 | $2.34 | $2.40 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.93 Median $0.93 Typical High $0.95 | Professional | 53 · Discontinued | $0.93 | $0.93 | $0.95 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | 90 · Outside lab | $6.03 | $6.03 | $6.03 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in Kentucky. 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· 10th of 51
$8.91
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.