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 $25.70 Median $25.70 Typical High $40.74 | Facility | None | $25.70 | $25.70 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $25.70 Median $25.70 Typical High $31.62 | Professional | None | $25.70 | $25.70 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $36.31 | Professional | None | $27.54 | $27.54 | $36.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $11.48 Median $22.39 Typical High $173.78 | Facility | None | $11.48 | $22.39 | $173.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $31.62 Typical High $34.67 | Professional | None | $18.20 | $31.62 | $34.67 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | QW · Waived lab test | $33.11 | $33.11 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $61.66 Median $83.18 Typical High $199.53 | Facility | None | $61.66 | $83.18 | $199.53 |
Cigna Setting Professional Modifier None Typical Low $14.13 Median $15.49 Typical High $37.15 | Professional | None | $14.13 | $15.49 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $30.90 Typical High $43.65 | Facility | None | $22.91 | $30.90 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $33.11 Typical High $38.90 | Professional | None | $32.36 | $33.11 | $38.90 |
United Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $38.90 | Facility | None | $29.51 | $29.51 | $38.90 |
United Setting Professional Modifier None Typical Low $13.80 Median $19.50 Typical High $38.90 | Professional | None | $13.80 | $19.50 | $38.90 |
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 $12.88 Median $12.88 Typical High $13.18 | Professional | 52 · Reduced service | $12.88 | $12.88 | $13.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $5.13 Median $5.13 Typical High $5.25 | Professional | 53 · Discontinued | $5.13 | $5.13 | $5.25 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Kentucky. 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· 42nd of 51
$25.70
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.