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 $14.45 Median $18.62 Typical High $53.70 | Facility | None | $14.45 | $18.62 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $23.99 | Professional | None | $14.45 | $14.45 | $23.99 |
Ambetter Setting Professional Modifier None Typical Low $9.33 Median $28.84 Typical High $33.88 | Professional | None | $9.33 | $28.84 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $53.70 Median $91.20 Typical High $190.55 | Facility | None | $53.70 | $91.20 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $46.77 | Professional | None | $22.91 | $30.90 | $46.77 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $18.62 Median $18.62 Typical High $19.95 | Professional | QW · Waived lab test | $18.62 | $18.62 | $19.95 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $54.95 Typical High $114.82 | Facility | None | $35.48 | $54.95 | $114.82 |
Cigna Setting Professional Modifier None Typical Low $9.33 Median $12.88 Typical High $23.99 | Professional | None | $9.33 | $12.88 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $13.80 Median $19.50 Typical High $134.90 | Facility | None | $13.80 | $19.50 | $134.90 |
Medcost Setting Professional Modifier None Typical Low $20.89 Median $33.88 Typical High $57.54 | Professional | None | $20.89 | $33.88 | $57.54 |
United Setting Facility Modifier None Typical Low $16.60 Median $16.60 Typical High $22.39 | Facility | None | $16.60 | $16.60 | $22.39 |
United Setting Professional Modifier None Typical Low $7.76 Median $12.59 Typical High $25.70 | Professional | None | $7.76 | $12.59 | $25.70 |
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 $7.24 Median $7.24 Typical High $7.41 | Professional | 52 · Reduced service | $7.24 | $7.24 | $7.41 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.88 Median $2.88 Typical High $2.95 | Professional | 53 · Discontinued | $2.88 | $2.88 | $2.95 |
Where South Carolina sits
The same service costs 6.8 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· 5th of 51
$38.90
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.