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 $3.98 Median $4.90 Typical High $8.13 | Facility | None | $3.98 | $4.90 | $8.13 |
Aetna Setting Professional Modifier None Typical Low $3.98 Median $3.98 Typical High $4.90 | Professional | None | $3.98 | $3.98 | $4.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.13 Median $31.62 Typical High $74.13 | Facility | None | $14.13 | $31.62 | $74.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.98 Median $5.01 Typical High $12.02 | Professional | None | $3.98 | $5.01 | $12.02 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $15.14 Typical High $31.62 | Facility | None | $9.55 | $15.14 | $31.62 |
Cigna Setting Professional Modifier None Typical Low $2.45 Median $3.24 Typical High $6.17 | Professional | None | $2.45 | $3.24 | $6.17 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $5.37 Typical High $36.31 | Facility | None | $3.80 | $5.37 | $36.31 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $7.94 Typical High $8.91 | Professional | None | $5.01 | $7.94 | $8.91 |
United Setting Facility Modifier None Typical Low $4.57 Median $4.57 Typical High $6.03 | Facility | None | $4.57 | $4.57 | $6.03 |
United Setting Professional Modifier None Typical Low $2.14 Median $3.31 Typical High $6.76 | Professional | None | $2.14 | $3.31 | $6.76 |
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 $2.00 Median $2.00 Typical High $2.04 | Professional | 52 · Reduced service | $2.00 | $2.00 | $2.04 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.79 Median $0.79 Typical High $0.81 | Professional | 53 · Discontinued | $0.79 | $0.79 | $0.81 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 90 · Outside lab | $5.01 | $5.01 | $5.01 |
Where South Carolina sits
The same service costs 9.3 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· 11th of 51
$7.08
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.