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 $2.34 Median $2.34 Typical High $6.03 | Facility | None | $2.34 | $2.34 | $6.03 |
Aetna Setting Professional Modifier None Typical Low $2.34 Median $2.34 Typical High $2.75 | Professional | None | $2.34 | $2.34 | $2.75 |
BCBS South Carolina Setting Facility Modifier None Typical Low $8.13 Median $14.13 Typical High $27.54 | Facility | None | $8.13 | $14.13 | $27.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3.02 Median $3.02 Typical High $7.08 | Professional | None | $3.02 | $3.02 | $7.08 |
Cigna Setting Facility Modifier None Typical Low $5.75 Median $7.59 Typical High $18.20 | Facility | None | $5.75 | $7.59 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $1.48 Median $1.95 Typical High $3.72 | Professional | None | $1.48 | $1.95 | $3.72 |
Medcost Setting Facility Modifier None Typical Low $2.29 Median $3.16 Typical High $21.88 | Facility | None | $2.29 | $3.16 | $21.88 |
Medcost Setting Professional Modifier None Typical Low $3.02 Median $5.01 Typical High $6.03 | Professional | None | $3.02 | $5.01 | $6.03 |
United Setting Facility Modifier None Typical Low $2.69 Median $2.69 Typical High $3.63 | Facility | None | $2.69 | $2.69 | $3.63 |
United Setting Professional Modifier None Typical Low $1.26 Median $1.95 Typical High $3.98 | Professional | None | $1.26 | $1.95 | $3.98 |
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 $1.17 Median $1.17 Typical High $1.20 | Professional | 52 · Reduced service | $1.17 | $1.17 | $1.20 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.47 Median $0.47 Typical High $0.48 | Professional | 53 · Discontinued | $0.47 | $0.47 | $0.48 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $3.02 Median $3.02 Typical High $3.02 | Professional | 90 · Outside lab | $3.02 | $3.02 | $3.02 |
Where South Carolina sits
The same service costs 3.4 times more in Alaska 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
$3.80
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.