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 $3.09 Median $3.89 Typical High $7.24 | Facility | None | $3.09 | $3.89 | $7.24 |
Aetna Setting Professional Modifier None Typical Low $3.09 Median $3.09 Typical High $4.68 | Professional | None | $3.09 | $3.09 | $4.68 |
Ambetter Setting Professional Modifier None Typical Low $2.75 Median $2.75 Typical High $3.89 | Professional | None | $2.75 | $2.75 | $3.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.72 Median $19.95 Typical High $52.48 | Facility | None | $10.72 | $19.95 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $8.91 | Professional | None | $5.01 | $6.61 | $8.91 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $3.89 Median $3.89 Typical High $4.17 | Professional | QW · Waived lab test | $3.89 | $3.89 | $4.17 |
Cigna Setting Facility Modifier None Typical Low $7.41 Median $11.75 Typical High $23.99 | Facility | None | $7.41 | $11.75 | $23.99 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.63 Typical High $4.90 | Professional | None | $1.95 | $2.63 | $4.90 |
Medcost Setting Facility Modifier None Typical Low $2.88 Median $4.07 Typical High $25.70 | Facility | None | $2.88 | $4.07 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.08 Typical High $12.30 | Professional | None | $3.98 | $7.08 | $12.30 |
United Setting Facility Modifier None Typical Low $3.55 Median $3.55 Typical High $4.68 | Facility | None | $3.55 | $3.55 | $4.68 |
United Setting Professional Modifier None Typical Low $2.34 Median $3.55 Typical High $5.01 | Professional | None | $2.34 | $3.55 | $5.01 |
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 $1.51 Median $1.51 Typical High $1.58 | Professional | 52 · Reduced service | $1.51 | $1.51 | $1.58 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.62 Median $0.62 Typical High $0.63 | Professional | 53 · Discontinued | $0.62 | $0.62 | $0.63 |
Where South Carolina sits
The same service costs 8.1 times more in Vermont 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· 5th of 51
$7.94
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.