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 $9.33 Median $11.75 Typical High $34.67 | Facility | None | $9.33 | $11.75 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $12.02 | Professional | None | $9.33 | $9.33 | $12.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $23.44 Median $45.71 Typical High $128.82 | Facility | None | $23.44 | $45.71 | $128.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $20.89 Typical High $25.12 | Professional | None | $19.95 | $20.89 | $25.12 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $12.02 Median $12.02 Typical High $12.88 | Professional | QW · Waived lab test | $12.02 | $12.02 | $12.88 |
Cigna Setting Facility Modifier None Typical Low $22.91 Median $30.20 Typical High $74.13 | Facility | None | $22.91 | $30.20 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $6.03 Median $8.32 Typical High $15.49 | Professional | None | $6.03 | $8.32 | $15.49 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $12.59 Typical High $87.10 | Facility | None | $8.91 | $12.59 | $87.10 |
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 $10.72 Median $10.72 Typical High $14.45 | Facility | None | $10.72 | $10.72 | $14.45 |
United Setting Professional Modifier None Typical Low $5.01 Median $8.51 Typical High $16.60 | Professional | None | $5.01 | $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 $4.68 Median $4.68 Typical High $4.79 | Professional | 52 · Reduced service | $4.68 | $4.68 | $4.79 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $1.86 Median $1.86 Typical High $1.91 | Professional | 53 · Discontinued | $1.86 | $1.86 | $1.91 |
Where South Carolina sits
The same service costs 5.5 times more in Vermont 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· 6th of 51
$20.89
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.