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 $3.72 Median $4.68 Typical High $10.00 | Facility | None | $3.72 | $4.68 | $10.00 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $5.75 | Professional | None | $3.72 | $3.72 | $5.75 |
Ambetter Setting Professional Modifier None Typical Low $2.40 Median $4.79 Typical High $8.71 | Professional | None | $2.40 | $4.79 | $8.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.45 Median $23.44 Typical High $57.54 | Facility | None | $14.45 | $23.44 | $57.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.08 Median $9.33 Typical High $12.02 | Professional | None | $7.08 | $9.33 | $12.02 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $4.79 Median $4.79 Typical High $5.13 | Professional | QW · Waived lab test | $4.79 | $4.79 | $5.13 |
Cigna Setting Facility Modifier None Typical Low $8.91 Median $14.13 Typical High $30.20 | Facility | None | $8.91 | $14.13 | $30.20 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.31 Typical High $6.17 | Professional | None | $2.45 | $3.31 | $6.17 |
Medcost Setting Facility Modifier None Typical Low $3.55 Median $5.01 Typical High $33.88 | Facility | None | $3.55 | $5.01 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $8.91 Typical High $15.85 | Professional | None | $3.98 | $8.91 | $15.85 |
United Setting Facility Modifier None Typical Low $4.27 Median $4.27 Typical High $5.75 | Facility | None | $4.27 | $4.27 | $5.75 |
United Setting Professional Modifier None Typical Low $2.82 Median $4.57 Typical High $6.61 | Professional | None | $2.82 | $4.57 | $6.61 |
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 $1.86 Median $1.86 Typical High $1.91 | Professional | 52 · Reduced service | $1.86 | $1.86 | $1.91 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.74 Median $0.74 Typical High $0.76 | Professional | 53 · Discontinued | $0.74 | $0.74 | $0.76 |
Where South Carolina sits
The same service costs 12.9 times more in Vermont than in Washington, DC. 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· 5th of 51
$10.72
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.