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 $19.95 Median $19.95 Typical High $19.95 | Facility | None | $19.95 | $19.95 | $19.95 |
Aetna Setting Professional Modifier None Typical Low $19.95 Median $19.95 Typical High $20.42 | Professional | None | $19.95 | $19.95 | $20.42 |
BCBS South Carolina Setting Facility Modifier None Typical Low $37.15 Median $58.88 Typical High $107.15 | Facility | None | $37.15 | $58.88 | $107.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $23.99 Median $36.31 Typical High $43.65 | Professional | None | $23.99 | $36.31 | $43.65 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $25.70 Median $25.70 Typical High $27.54 | Professional | QW · Waived lab test | $25.70 | $25.70 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $47.86 Median $64.57 Typical High $158.49 | Facility | None | $47.86 | $64.57 | $158.49 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $29.51 | Professional | None | $11.75 | $15.14 | $29.51 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $24.55 Typical High $33.88 | Facility | None | $17.78 | $24.55 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $29.51 Typical High $32.36 | Professional | None | $21.88 | $29.51 | $32.36 |
United Setting Facility Modifier None Typical Low $22.91 Median $22.91 Typical High $30.90 | Facility | None | $22.91 | $22.91 | $30.90 |
United Setting Professional Modifier None Typical Low $10.72 Median $15.49 Typical High $30.90 | Professional | None | $10.72 | $15.49 | $30.90 |
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 $10.00 Median $10.00 Typical High $10.23 | Professional | 52 · Reduced service | $10.00 | $10.00 | $10.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.98 Median $3.98 Typical High $4.07 | Professional | 53 · Discontinued | $3.98 | $3.98 | $4.07 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Alabama. 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· 2nd of 51
$42.66
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.