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 $10.00 Median $12.88 Typical High $37.15 | Facility | None | $10.00 | $12.88 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $10.00 Median $10.00 Typical High $16.60 | Professional | None | $10.00 | $10.00 | $16.60 |
Ambetter Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $12.88 | Professional | None | $8.91 | $8.91 | $12.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $67.61 Typical High $141.25 | Facility | None | $33.88 | $67.61 | $141.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $32.36 | Professional | None | $12.88 | $19.50 | $32.36 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $12.88 Median $12.88 Typical High $13.80 | Professional | QW · Waived lab test | $12.88 | $12.88 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $38.02 Typical High $79.43 | Facility | None | $24.55 | $38.02 | $79.43 |
Cigna Setting Professional Modifier None Typical Low $6.61 Median $8.71 Typical High $16.60 | Professional | None | $6.61 | $8.71 | $16.60 |
Medcost Setting Facility Modifier None Typical Low $9.55 Median $13.49 Typical High $93.33 | Facility | None | $9.55 | $13.49 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $7.94 Median $23.99 Typical High $45.71 | Professional | None | $7.94 | $23.99 | $45.71 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $15.49 | Facility | None | $11.48 | $11.48 | $15.49 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.30 Typical High $17.78 | Professional | None | $7.76 | $12.30 | $17.78 |
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 $5.01 Median $5.01 Typical High $5.13 | Professional | 52 · Reduced service | $5.01 | $5.01 | $5.13 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.00 Median $2.00 Typical High $2.04 | Professional | 53 · Discontinued | $2.00 | $2.00 | $2.04 |
Where South Carolina sits
The same service costs 4.3 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· 5th of 51
$26.92
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.