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 $3.47 Median $4.07 Typical High $9.33 | Facility | None | $3.47 | $4.07 | $9.33 |
Aetna Setting Professional Modifier None Typical Low $3.47 Median $3.47 Typical High $5.13 | Professional | None | $3.47 | $3.47 | $5.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $14.79 Median $25.70 Typical High $52.48 | Facility | None | $14.79 | $25.70 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4.37 Median $6.03 Typical High $10.96 | Professional | None | $4.37 | $6.03 | $10.96 |
Cigna Setting Facility Modifier None Typical Low $8.32 Median $11.22 Typical High $28.18 | Facility | None | $8.32 | $11.22 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.88 Typical High $5.62 | Professional | None | $2.29 | $2.88 | $5.62 |
Medcost Setting Facility Modifier None Typical Low $3.31 Median $4.37 Typical High $7.24 | Facility | None | $3.31 | $4.37 | $7.24 |
Medcost Setting Professional Modifier None Typical Low $5.01 Median $8.91 Typical High $15.49 | Professional | None | $5.01 | $8.91 | $15.49 |
United Setting Facility Modifier None Typical Low $3.98 Median $3.98 Typical High $5.25 | Facility | None | $3.98 | $3.98 | $5.25 |
United Setting Professional Modifier None Typical Low $1.86 Median $3.09 Typical High $6.17 | Professional | None | $1.86 | $3.09 | $6.17 |
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 $1.74 Median $1.74 Typical High $1.78 | Professional | 52 · Reduced service | $1.74 | $1.74 | $1.78 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $0.69 Median $0.69 Typical High $0.71 | Professional | 53 · Discontinued | $0.69 | $0.69 | $0.71 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $2.19 Median $2.19 Typical High $2.19 | Professional | 90 · Outside lab | $2.19 | $2.19 | $2.19 |
Where South Carolina sits
The same service costs 4.2 times more in Kansas 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· 6th of 51
$7.08
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.