How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $54.95 Median $54.95 Typical High $95.50 | Facility | None | $54.95 | $54.95 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $54.95 Median $54.95 Typical High $72.44 | Professional | None | $54.95 | $54.95 | $72.44 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $60.26 Median $66.07 Typical High $66.07 | Professional | QW · Waived lab test | $60.26 | $66.07 | $66.07 |
BCBS South Carolina Setting Facility Modifier None Typical Low $77.62 Median $416.87 Typical High $426.58 | Facility | None | $77.62 | $416.87 | $426.58 |
BCBS South Carolina Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $144.54 | Professional | None | $81.28 | $81.28 | $144.54 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $70.79 Median $70.79 Typical High $74.13 | Professional | QW · Waived lab test | $70.79 | $70.79 | $74.13 |
Cigna Setting Facility Modifier None Typical Low $131.83 Median $177.83 Typical High $436.52 | Facility | None | $131.83 | $177.83 | $436.52 |
Cigna Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $85.11 | Professional | None | $35.48 | $41.69 | $85.11 |
Medcost Setting Facility Modifier None Typical Low $54.95 Median $66.07 Typical High $204.17 | Facility | None | $54.95 | $66.07 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $97.72 | Professional | None | $85.11 | $87.10 | $97.72 |
United Setting Facility Modifier None Typical Low $63.10 Median $63.10 Typical High $85.11 | Facility | None | $63.10 | $63.10 | $85.11 |
United Setting Professional Modifier None Typical Low $29.51 Median $43.65 Typical High $85.11 | Professional | None | $29.51 | $43.65 | $85.11 |
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 $27.54 Median $27.54 Typical High $28.18 | Professional | 52 · Reduced service | $27.54 | $27.54 | $28.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.96 Median $10.96 Typical High $11.22 | Professional | 53 · Discontinued | $10.96 | $10.96 | $11.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $43.65 Median $43.65 Typical High $64.57 | Professional | 51 · Multiple procedures | $43.65 | $43.65 | $64.57 |
Where South Carolina sits
The same service costs 4.0 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· 18th of 51
$81.28
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.