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 $13.49 Median $16.98 Typical High $27.54 | Facility | None | $13.49 | $16.98 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $13.49 Median $13.49 Typical High $17.38 | Professional | None | $13.49 | $13.49 | $17.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.88 Median $66.07 Typical High $177.83 | Facility | None | $33.88 | $66.07 | $177.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $43.65 | Professional | None | $25.12 | $25.12 | $43.65 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $17.38 Median $17.38 Typical High $18.62 | Professional | QW · Waived lab test | $17.38 | $17.38 | $18.62 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $104.71 | Facility | None | $32.36 | $51.29 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $8.51 Typical High $20.89 | Professional | None | $7.94 | $8.51 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $18.20 Typical High $93.33 | Facility | None | $12.02 | $18.20 | $93.33 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $23.99 Typical High $38.90 | Professional | None | $14.13 | $23.99 | $38.90 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.89 | Facility | None | $15.49 | $15.49 | $20.89 |
United Setting Professional Modifier None Typical Low $7.24 Median $10.47 Typical High $20.89 | Professional | None | $7.24 | $10.47 | $20.89 |
3 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 $6.76 Median $6.76 Typical High $6.92 | Professional | 52 · Reduced service | $6.76 | $6.76 | $6.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.69 Median $2.69 Typical High $2.75 | Professional | 53 · Discontinued | $2.69 | $2.69 | $2.75 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $10.72 Median $10.72 Typical High $10.72 | Professional | 90 · Outside lab | $10.72 | $10.72 | $10.72 |
Where South Carolina sits
The same service costs 20.4 times more in Vermont than in Kentucky. 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· 8th of 51
$25.70
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.