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 $44.67 Median $45.71 Typical High $102.33 | Facility | None | $44.67 | $45.71 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $56.23 | Professional | None | $45.71 | $45.71 | $56.23 |
Ambetter Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $44.67 | Professional | None | $37.15 | $37.15 | $44.67 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $17.78 Median $35.48 Typical High $63.10 | Professional | QW · Waived lab test | $17.78 | $35.48 | $63.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.18 Median $35.48 Typical High $58.88 | Facility | None | $28.18 | $35.48 | $58.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $58.88 | Professional | None | $36.31 | $36.31 | $58.88 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $35.48 Median $35.48 Typical High $38.02 | Professional | QW · Waived lab test | $35.48 | $35.48 | $38.02 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $74.13 Typical High $218.78 | Facility | None | $45.71 | $74.13 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $17.38 Median $28.18 Typical High $44.67 | Professional | None | $17.38 | $28.18 | $44.67 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $42.66 Typical High $77.62 | Facility | None | $35.48 | $42.66 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $42.66 | Professional | None | $35.48 | $41.69 | $42.66 |
United Setting Facility Modifier None Typical Low $31.62 Median $31.62 Typical High $42.66 | Facility | None | $31.62 | $31.62 | $42.66 |
United Setting Professional Modifier None Typical Low $17.78 Median $24.55 Typical High $48.98 | Professional | None | $17.78 | $24.55 | $48.98 |
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 $22.39 Median $22.39 Typical High $22.39 | Professional | 52 · Reduced service | $22.39 | $22.39 | $22.39 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.12 Median $9.12 Typical High $9.12 | Professional | 53 · Discontinued | $9.12 | $9.12 | $9.12 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska 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· 33rd 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.