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 $3.55 Median $4.47 Typical High $9.55 | Facility | None | $3.55 | $4.47 | $9.55 |
Aetna Setting Professional Modifier None Typical Low $3.55 Median $3.55 Typical High $5.89 | Professional | None | $3.55 | $3.55 | $5.89 |
Ambetter Setting Professional Modifier None Typical Low $2.24 Median $3.80 Typical High $8.32 | Professional | None | $2.24 | $3.80 | $8.32 |
BCBS South Carolina Setting Facility Modifier None Typical Low $10.96 Median $24.55 Typical High $52.48 | Facility | None | $10.96 | $24.55 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $5.01 Median $6.61 Typical High $10.96 | Professional | None | $5.01 | $6.61 | $10.96 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $4.47 Median $4.47 Typical High $4.79 | Professional | QW · Waived lab test | $4.47 | $4.47 | $4.79 |
Cigna Setting Facility Modifier None Typical Low $8.51 Median $13.49 Typical High $28.18 | Facility | None | $8.51 | $13.49 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $5.89 | Professional | None | $2.29 | $2.88 | $5.89 |
Medcost Setting Facility Modifier None Typical Low $3.39 Median $4.79 Typical High $33.11 | Facility | None | $3.39 | $4.79 | $33.11 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $15.85 | Professional | None | $5.01 | $8.91 | $15.85 |
United Setting Facility Modifier None Typical Low $4.07 Median $4.07 Typical High $5.37 | Facility | None | $4.07 | $4.07 | $5.37 |
United Setting Professional Modifier None Typical Low $1.91 Median $3.09 Typical High $6.31 | Professional | None | $1.91 | $3.09 | $6.31 |
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 $1.78 Median $1.78 Typical High $1.82 | Professional | 52 · Reduced service | $1.78 | $1.78 | $1.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.71 Median $0.71 Typical High $0.72 | Professional | 53 · Discontinued | $0.71 | $0.71 | $0.72 |
Where South Carolina sits
The same service costs 15.8 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· 9th 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.