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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $13.80 | Professional | None | $11.75 | $11.75 | $13.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $40.74 Median $81.28 Typical High $194.98 | Facility | None | $40.74 | $81.28 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.14 Median $36.31 Typical High $38.02 | Professional | None | $15.14 | $36.31 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $28.18 Median $44.67 Typical High $91.20 | Facility | None | $28.18 | $44.67 | $91.20 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.77 Typical High $19.50 | Professional | None | $7.59 | $9.77 | $19.50 |
Medcost Setting Facility Modifier None Typical Low $11.22 Median $15.85 Typical High $109.65 | Facility | None | $11.22 | $15.85 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $15.85 Median $25.70 Typical High $28.18 | Professional | None | $15.85 | $25.70 | $28.18 |
United Setting Facility Modifier None Typical Low $13.49 Median $13.49 Typical High $18.20 | Facility | None | $13.49 | $13.49 | $18.20 |
United Setting Professional Modifier None Typical Low $6.31 Median $10.23 Typical High $20.89 | Professional | None | $6.31 | $10.23 | $20.89 |
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 $5.89 Median $5.89 Typical High $6.03 | Professional | 52 · Reduced service | $5.89 | $5.89 | $6.03 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.34 Median $2.34 Typical High $2.40 | Professional | 53 · Discontinued | $2.34 | $2.34 | $2.40 |
Ambetter Setting Professional Modifier 90 · Outside lab Typical Low $15.14 Median $15.14 Typical High $15.14 | Professional | 90 · Outside lab | $15.14 | $15.14 | $15.14 |
Where South Carolina sits
The same service costs 4.3 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· 3rd of 51
$36.31
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.