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 $16.98 Median $21.38 Typical High $45.71 | Facility | None | $16.98 | $21.38 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $16.98 Median $16.98 Typical High $20.89 | Professional | None | $16.98 | $16.98 | $20.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $194.98 | Facility | None | $61.66 | $109.65 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $21.88 Median $25.12 Typical High $54.95 | Professional | None | $21.88 | $25.12 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $41.69 Median $58.88 Typical High $134.90 | Facility | None | $41.69 | $58.88 | $134.90 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $14.45 Typical High $27.54 | Professional | None | $11.22 | $14.45 | $27.54 |
Medcost Setting Facility Modifier None Typical Low $16.60 Median $22.91 Typical High $158.49 | Facility | None | $16.60 | $22.91 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $39.81 Typical High $51.29 | Professional | None | $23.99 | $39.81 | $51.29 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $26.30 | Facility | None | $19.95 | $19.95 | $26.30 |
United Setting Professional Modifier None Typical Low $9.33 Median $15.49 Typical High $30.90 | Professional | None | $9.33 | $15.49 | $30.90 |
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 $8.51 Median $8.51 Typical High $8.71 | Professional | 52 · Reduced service | $8.51 | $8.51 | $8.71 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.47 Median $3.47 Typical High $3.55 | Professional | 53 · Discontinued | $3.47 | $3.47 | $3.55 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | 90 · Outside lab | $21.88 | $21.88 | $21.88 |
Where South Carolina sits
The same service costs 13.5 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
$35.48
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.