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 $19.50 Median $19.50 Typical High $40.74 | Facility | None | $19.50 | $19.50 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $23.44 | Professional | None | $19.50 | $19.50 | $23.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $158.49 Typical High $346.74 | Facility | None | $75.86 | $158.49 | $346.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $30.20 Typical High $64.57 | Professional | None | $25.12 | $30.20 | $64.57 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $154.88 | Facility | None | $47.86 | $64.57 | $154.88 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $16.60 Typical High $31.62 | Professional | None | $12.88 | $16.60 | $31.62 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $25.12 Typical High $41.69 | Facility | None | $19.05 | $25.12 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $45.71 Typical High $89.13 | Professional | None | $28.18 | $45.71 | $89.13 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.20 | Facility | None | $22.91 | $22.91 | $30.20 |
United Setting Professional Modifier None Typical Low $10.72 Median $17.78 Typical High $35.48 | Professional | None | $10.72 | $17.78 | $35.48 |
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 $9.77 Median $9.77 Typical High $10.00 | Professional | 52 · Reduced service | $9.77 | $9.77 | $10.00 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | 90 · Outside lab | $25.12 | $25.12 | $25.12 |
Where South Carolina sits
The same service costs 15.8 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· 8th of 51
$37.15
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.