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 $5.62 Median $7.24 Typical High $20.89 | Facility | None | $5.62 | $7.24 | $20.89 |
Aetna Setting Professional Modifier None Typical Low $5.62 Median $5.62 Typical High $8.91 | Professional | None | $5.62 | $5.62 | $8.91 |
Ambetter Setting Professional Modifier None Typical Low $3.63 Median $7.24 Typical High $13.18 | Professional | None | $3.63 | $7.24 | $13.18 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.30 Median $28.18 Typical High $67.61 | Facility | None | $12.30 | $28.18 | $67.61 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $10.47 Typical High $18.20 | Professional | None | $6.03 | $10.47 | $18.20 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $7.24 Median $7.24 Typical High $7.76 | Professional | QW · Waived lab test | $7.24 | $7.24 | $7.76 |
Cigna Setting Facility Modifier None Typical Low $13.49 Median $21.38 Typical High $43.65 | Facility | None | $13.49 | $21.38 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $3.63 Median $4.68 Typical High $9.33 | Professional | None | $3.63 | $4.68 | $9.33 |
Medcost Setting Facility Modifier None Typical Low $5.37 Median $7.59 Typical High $52.48 | Facility | None | $5.37 | $7.59 | $52.48 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $12.88 Typical High $14.13 | Professional | None | $3.02 | $12.88 | $14.13 |
United Setting Facility Modifier None Typical Low $6.46 Median $6.46 Typical High $8.71 | Facility | None | $6.46 | $6.46 | $8.71 |
United Setting Professional Modifier None Typical Low $3.02 Median $4.90 Typical High $10.00 | Professional | None | $3.02 | $4.90 | $10.00 |
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 $2.82 Median $2.82 Typical High $2.88 | Professional | 52 · Reduced service | $2.82 | $2.82 | $2.88 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.12 Median $1.12 Typical High $1.15 | Professional | 53 · Discontinued | $1.12 | $1.12 | $1.15 |
Where South Carolina sits
The same service costs 5.8 times more in Vermont 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· 6th of 51
$12.30
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.