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 $8.91 Median $11.22 Typical High $23.99 | Facility | None | $8.91 | $11.22 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $13.18 | Professional | None | $8.91 | $8.91 | $13.18 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $18.20 Typical High $21.38 | Professional | None | $11.48 | $18.20 | $21.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $25.70 Median $52.48 Typical High $123.03 | Facility | None | $25.70 | $52.48 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.85 Median $19.95 Typical High $26.92 | Professional | None | $15.85 | $19.95 | $26.92 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $11.48 Median $11.48 Typical High $12.30 | Professional | QW · Waived lab test | $11.48 | $11.48 | $12.30 |
Cigna Setting Facility Modifier None Typical Low $21.88 Median $34.67 Typical High $72.44 | Facility | None | $21.88 | $34.67 | $72.44 |
Cigna Setting Professional Modifier None Typical Low $5.89 Median $7.94 Typical High $14.79 | Professional | None | $5.89 | $7.94 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $8.71 Median $12.02 Typical High $83.18 | Facility | None | $8.71 | $12.02 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $19.50 Typical High $20.89 | Professional | None | $12.88 | $19.50 | $20.89 |
United Setting Facility Modifier None Typical Low $10.47 Median $10.47 Typical High $13.80 | Facility | None | $10.47 | $10.47 | $13.80 |
United Setting Professional Modifier None Typical Low $4.79 Median $8.13 Typical High $16.22 | Professional | None | $4.79 | $8.13 | $16.22 |
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 $4.47 Median $4.47 Typical High $4.57 | Professional | 52 · Reduced service | $4.47 | $4.47 | $4.57 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.82 Median $1.82 Typical High $1.82 | Professional | 53 · Discontinued | $1.82 | $1.82 | $1.82 |
Where South Carolina sits
The same service costs 5.2 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· 7th of 51
$19.95
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.