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 $3.39 Median $5.37 Typical High $54.95 | Facility | None | $3.39 | $5.37 | $54.95 |
Aetna Setting Professional Modifier None Typical Low $3.39 Median $3.39 Typical High $5.62 | Professional | None | $3.39 | $3.39 | $5.62 |
Ambetter Setting Professional Modifier None Typical Low $2.14 Median $5.62 Typical High $7.94 | Professional | None | $2.14 | $5.62 | $7.94 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $2.14 Median $4.68 Typical High $6.17 | Professional | QW · Waived lab test | $2.14 | $4.68 | $6.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.45 Median $32.36 Typical High $70.79 | Facility | None | $14.45 | $32.36 | $70.79 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $8.71 Typical High $10.00 | Professional | None | $6.03 | $8.71 | $10.00 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $4.27 Median $4.27 Typical High $4.57 | Professional | QW · Waived lab test | $4.27 | $4.27 | $4.57 |
Cigna Setting Facility Modifier None Typical Low $8.13 Median $12.88 Typical High $25.70 | Facility | None | $8.13 | $12.88 | $25.70 |
Cigna Setting Professional Modifier None Typical Low $1.95 Median $2.75 Typical High $5.37 | Professional | None | $1.95 | $2.75 | $5.37 |
Medcost Setting Facility Modifier None Typical Low $3.24 Median $4.47 Typical High $28.84 | Facility | None | $3.24 | $4.47 | $28.84 |
Medcost Setting Professional Modifier None Typical Low $3.98 Median $7.94 Typical High $13.80 | Professional | None | $3.98 | $7.94 | $13.80 |
United Setting Facility Modifier None Typical Low $3.89 Median $3.89 Typical High $5.13 | Facility | None | $3.89 | $3.89 | $5.13 |
United Setting Professional Modifier None Typical Low $2.51 Median $3.89 Typical High $5.50 | Professional | None | $2.51 | $3.89 | $5.50 |
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 $1.70 Median $1.70 Typical High $1.74 | Professional | 52 · Reduced service | $1.70 | $1.70 | $1.74 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.68 Median $0.68 Typical High $0.69 | Professional | 53 · Discontinued | $0.68 | $0.68 | $0.69 |
Where South Carolina sits
The same service costs 14.8 times more in Minnesota 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· 7th of 51
$10.00
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.