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 $20.89 Median $20.89 Typical High $77.62 | Facility | None | $20.89 | $20.89 | $77.62 |
Aetna Setting Professional Modifier None Typical Low $20.89 Median $20.89 Typical High $24.55 | Professional | None | $20.89 | $20.89 | $24.55 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $181.97 Typical High $346.74 | Facility | None | $100.00 | $181.97 | $346.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.92 Median $67.61 Typical High $97.72 | Professional | None | $26.92 | $67.61 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $50.12 Median $79.43 Typical High $165.96 | Facility | None | $50.12 | $79.43 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $13.49 Median $17.38 Typical High $33.88 | Professional | None | $13.49 | $17.38 | $33.88 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $26.92 Typical High $44.67 | Facility | None | $19.95 | $26.92 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $45.71 Typical High $48.98 | Professional | None | $30.20 | $45.71 | $48.98 |
United Setting Facility Modifier None Typical Low $23.99 Median $23.99 Typical High $32.36 | Facility | None | $23.99 | $23.99 | $32.36 |
United Setting Professional Modifier None Typical Low $11.22 Median $19.05 Typical High $37.15 | Professional | None | $11.22 | $19.05 | $37.15 |
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 $10.47 Median $10.47 Typical High $10.72 | Professional | 52 · Reduced service | $10.47 | $10.47 | $10.72 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $4.17 Median $4.17 Typical High $4.27 | Professional | 53 · Discontinued | $4.17 | $4.17 | $4.27 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | 90 · Outside lab | $26.92 | $26.92 | $26.92 |
Where South Carolina sits
The same service costs 4.5 times more in South Carolina 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· 1st of 51
$67.61
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.