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 $4.47 Median $4.47 Typical High $16.60 | Facility | None | $4.47 | $4.47 | $16.60 |
Aetna Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $5.50 | Professional | None | $4.47 | $4.47 | $5.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.79 Median $27.54 Typical High $69.18 | Facility | None | $14.79 | $27.54 | $69.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.75 Median $7.08 Typical High $12.88 | Professional | None | $5.75 | $7.08 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $10.96 Median $14.79 Typical High $36.31 | Facility | None | $10.96 | $14.79 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $2.69 Median $3.39 Typical High $6.92 | Professional | None | $2.69 | $3.39 | $6.92 |
Medcost Setting Facility Modifier None Typical Low $4.37 Median $5.75 Typical High $8.51 | Facility | None | $4.37 | $5.75 | $8.51 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $8.13 Typical High $10.00 | Professional | None | $6.03 | $8.13 | $10.00 |
United Setting Facility Modifier None Typical Low $5.25 Median $5.25 Typical High $6.92 | Facility | None | $5.25 | $5.25 | $6.92 |
United Setting Professional Modifier None Typical Low $2.45 Median $3.55 Typical High $7.24 | Professional | None | $2.45 | $3.55 | $7.24 |
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 $2.24 Median $2.24 Typical High $2.29 | Professional | 52 · Reduced service | $2.24 | $2.24 | $2.29 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.89 Median $0.89 Typical High $0.91 | Professional | 53 · Discontinued | $0.89 | $0.89 | $0.91 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | 90 · Outside lab | $5.75 | $5.75 | $5.75 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska 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· 10th 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.