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 $3.98 Median $5.01 Typical High $10.72 | Facility | None | $3.98 | $5.01 | $10.72 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $6.61 | Professional | None | $3.98 | $3.98 | $6.61 |
Ambetter Setting Professional Modifier None Typical Low $2.57 Median $5.13 Typical High $6.61 | Professional | None | $2.57 | $5.13 | $6.61 |
BCBS South Carolina Setting Facility Modifier None Typical Low $8.13 Median $25.12 Typical High $52.48 | Facility | None | $8.13 | $25.12 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $7.24 Typical High $12.88 | Professional | None | $5.01 | $7.24 | $12.88 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $5.13 Median $5.13 Typical High $5.50 | Professional | QW · Waived lab test | $5.13 | $5.13 | $5.50 |
Cigna Setting Facility Modifier None Typical Low $9.77 Median $15.14 Typical High $31.62 | Facility | None | $9.77 | $15.14 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.63 Median $3.39 Typical High $6.46 | Professional | None | $2.63 | $3.39 | $6.46 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $37.15 | Facility | None | $3.80 | $5.37 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $10.00 Typical High $16.98 | Professional | None | $6.03 | $10.00 | $16.98 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $6.17 | Facility | None | $4.57 | $4.57 | $6.17 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.47 Typical High $7.08 | Professional | None | $2.14 | $3.47 | $7.08 |
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 $2.00 Median $2.00 Typical High $2.04 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.81 |
Where South Carolina sits
The same service costs 9.5 times more in Minnesota than in New Jersey. 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
$9.55
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.