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 $13.18 Median $16.60 Typical High $104.71 | Facility | None | $13.18 | $16.60 | $104.71 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $26.92 | Professional | None | $13.18 | $13.18 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $8.32 Median $16.98 Typical High $30.90 | Professional | None | $8.32 | $16.98 | $30.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $87.10 Typical High $169.82 | Facility | None | $37.15 | $87.10 | $169.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.05 Median $27.54 Typical High $41.69 | Professional | None | $19.05 | $27.54 | $41.69 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $16.98 Median $16.98 Typical High $17.78 | Professional | QW · Waived lab test | $16.98 | $16.98 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $31.62 Median $50.12 Typical High $104.71 | Facility | None | $31.62 | $50.12 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $11.48 Typical High $21.88 | Professional | None | $8.51 | $11.48 | $21.88 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $17.78 Typical High $123.03 | Facility | None | $12.59 | $17.78 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $16.98 Median $30.90 Typical High $39.81 | Professional | None | $16.98 | $30.90 | $39.81 |
United Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $23.44 | Professional | None | $7.08 | $11.48 | $23.44 |
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 $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Where South Carolina sits
The same service costs 7.8 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· 10th of 51
$30.90
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.