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 $13.18 Median $16.60 Typical High $35.48 | Facility | None | $13.18 | $16.60 | $35.48 |
Aetna Setting Professional Modifier None Typical Low $13.18 Median $13.18 Typical High $19.95 | Professional | None | $13.18 | $13.18 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $117.49 Typical High $263.03 | Facility | None | $48.98 | $117.49 | $263.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.18 Median $36.31 Typical High $42.66 | Professional | None | $28.18 | $36.31 | $42.66 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $16.98 Median $16.98 Typical High $18.20 | Professional | QW · Waived lab test | $16.98 | $16.98 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $32.36 Median $51.29 Typical High $104.71 | Facility | None | $32.36 | $51.29 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $11.22 Typical High $21.38 | Professional | None | $8.51 | $11.22 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $12.88 Median $17.78 Typical High $123.03 | Facility | None | $12.88 | $17.78 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $28.84 Typical High $30.90 | Professional | None | $15.85 | $28.84 | $30.90 |
United Setting Facility Modifier None Typical Low $15.49 Median $15.49 Typical High $20.42 | Facility | None | $15.49 | $15.49 | $20.42 |
United Setting Professional Modifier None Typical Low $7.08 Median $11.48 Typical High $23.99 | Professional | None | $7.08 | $11.48 | $23.99 |
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 $6.61 Median $6.61 Typical High $6.76 | Professional | 52 · Reduced service | $6.61 | $6.61 | $6.76 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.63 Median $2.63 Typical High $2.69 | Professional | 53 · Discontinued | $2.63 | $2.63 | $2.69 |
Where South Carolina sits
The same service costs 8.1 times more in Vermont than in Indiana. 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· 5th 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.