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 $51.29 Median $51.29 Typical High $81.28 | Facility | None | $51.29 | $51.29 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $60.26 | Professional | None | $51.29 | $51.29 | $60.26 |
Ambetter Setting Professional Modifier None Typical Low $43.65 Median $43.65 Typical High $51.29 | Professional | None | $43.65 | $43.65 | $51.29 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $43.65 Median $47.86 Typical High $56.23 | Professional | QW · Waived lab test | $43.65 | $47.86 | $56.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.90 Median $64.57 Typical High $107.15 | Facility | None | $30.90 | $64.57 | $107.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $85.11 | Professional | None | $51.29 | $51.29 | $85.11 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $51.29 Median $51.29 Typical High $54.95 | Professional | QW · Waived lab test | $51.29 | $51.29 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $107.15 Typical High $316.23 | Facility | None | $97.72 | $107.15 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.90 Typical High $54.95 | Professional | None | $25.70 | $30.90 | $54.95 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $56.23 Typical High $147.91 | Facility | None | $47.86 | $56.23 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $100.00 Typical High $100.00 | Professional | None | $61.66 | $100.00 | $100.00 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $61.66 | Facility | None | $45.71 | $45.71 | $61.66 |
United Setting Professional Modifier None Typical Low $30.90 Median $42.66 Typical High $51.29 | Professional | None | $30.90 | $42.66 | $51.29 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | 52 · Reduced service | $25.70 | $25.70 | $25.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.23 Typical High $10.23 | Professional | 53 · Discontinued | $10.23 | $10.23 | $10.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.90 Median $50.12 Typical High $50.12 | Professional | 51 · Multiple procedures | $38.90 | $50.12 | $50.12 |
Where South Carolina sits
The same service costs 2.2 times more in Minnesota than in New Mexico. 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· 22nd of 51
$51.29
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.