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 $10.96 Median $10.96 Typical High $19.50 | Facility | None | $10.96 | $10.96 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $13.49 | Professional | None | $10.96 | $10.96 | $13.49 |
Ambetter Setting Professional Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | None | $25.12 | $25.12 | $25.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $31.62 Median $61.66 Typical High $144.54 | Facility | None | $31.62 | $61.66 | $144.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $28.18 Median $30.20 Typical High $39.81 | Professional | None | $28.18 | $30.20 | $39.81 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $13.80 Median $13.80 Typical High $14.79 | Professional | QW · Waived lab test | $13.80 | $13.80 | $14.79 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $35.48 Typical High $85.11 | Facility | None | $26.30 | $35.48 | $85.11 |
Cigna Setting Professional Modifier None Typical Low $6.46 Median $8.91 Typical High $16.98 | Professional | None | $6.46 | $8.91 | $16.98 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $13.80 Typical High $19.95 | Facility | None | $10.00 | $13.80 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $12.88 Median $20.42 Typical High $21.88 | Professional | None | $12.88 | $20.42 | $21.88 |
United Setting Facility Modifier None Typical Low $12.59 Median $12.59 Typical High $16.60 | Facility | None | $12.59 | $12.59 | $16.60 |
United Setting Professional Modifier None Typical Low $5.89 Median $8.51 Typical High $16.60 | Professional | None | $5.89 | $8.51 | $16.60 |
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 $5.37 Median $5.37 Typical High $5.62 | Professional | 52 · Reduced service | $5.37 | $5.37 | $5.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.19 Median $2.19 Typical High $2.24 | Professional | 53 · Discontinued | $2.19 | $2.19 | $2.24 |
Where South Carolina sits
The same service costs 3.3 times more in Kansas than in New Jersey. 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
$30.20
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.