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 $3.63 Median $3.63 Typical High $5.75 | Facility | None | $3.63 | $3.63 | $5.75 |
Aetna Setting Professional Modifier None Typical Low $3.63 Median $3.63 Typical High $4.17 | Professional | None | $3.63 | $3.63 | $4.17 |
Ambetter Setting Professional Modifier None Typical Low $3.16 Median $4.57 Typical High $4.57 | Professional | None | $3.16 | $4.57 | $4.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $13.49 Median $26.30 Typical High $57.54 | Facility | None | $13.49 | $26.30 | $57.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $9.77 Typical High $10.00 | Professional | None | $7.08 | $9.77 | $10.00 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $4.57 Median $4.57 Typical High $4.90 | Professional | QW · Waived lab test | $4.57 | $4.57 | $4.90 |
Cigna Setting Facility Modifier None Typical Low $8.71 Median $13.80 Typical High $28.18 | Facility | None | $8.71 | $13.80 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $3.02 Typical High $5.89 | Professional | None | $2.29 | $3.02 | $5.89 |
Medcost Setting Facility Modifier None Typical Low $3.47 Median $4.57 Typical High $6.76 | Facility | None | $3.47 | $4.57 | $6.76 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $14.45 | Professional | None | $3.98 | $7.94 | $14.45 |
United Setting Facility Modifier None Typical Low $4.17 Median $4.17 Typical High $5.50 | Facility | None | $4.17 | $4.17 | $5.50 |
United Setting Professional Modifier None Typical Low $1.95 Median $2.82 Typical High $5.75 | Professional | None | $1.95 | $2.82 | $5.75 |
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 $1.82 Median $1.82 Typical High $1.82 | Professional | 52 · Reduced service | $1.82 | $1.82 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.72 Median $0.72 Typical High $0.74 | Professional | 53 · Discontinued | $0.72 | $0.72 | $0.74 |
Where South Carolina sits
The same service costs 4.4 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· 3rd of 51
$10.00
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.