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 $12.88 Median $16.22 Typical High $26.30 | Facility | None | $12.88 | $16.22 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $21.38 | Professional | None | $12.88 | $12.88 | $21.38 |
Ambetter Setting Professional Modifier None Typical Low $14.13 Median $14.13 Typical High $28.18 | Professional | None | $14.13 | $14.13 | $28.18 |
Ambetter Setting Professional Modifier QW · Waived lab test Typical Low $13.49 Median $17.38 Typical High $29.51 | Professional | QW · Waived lab test | $13.49 | $17.38 | $29.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.88 Median $40.74 Typical High $89.13 | Facility | None | $21.88 | $40.74 | $89.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $22.39 Typical High $30.20 | Professional | None | $7.94 | $22.39 | $30.20 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $16.60 Median $16.60 Typical High $17.78 | Professional | QW · Waived lab test | $16.60 | $16.60 | $17.78 |
Cigna Setting Facility Modifier None Typical Low $30.90 Median $48.98 Typical High $102.33 | Facility | None | $30.90 | $48.98 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $7.59 Median $9.12 Typical High $19.05 | Professional | None | $7.59 | $9.12 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $16.60 Typical High $87.10 | Facility | None | $11.48 | $16.60 | $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 $14.79 Median $14.79 Typical High $19.95 | Facility | None | $14.79 | $14.79 | $19.95 |
United Setting Professional Modifier None Typical Low $10.00 Median $14.13 Typical High $16.98 | Professional | None | $10.00 | $14.13 | $16.98 |
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 $6.46 Median $6.46 Typical High $6.61 | Professional | 52 · Reduced service | $6.46 | $6.46 | $6.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $2.57 Median $2.57 Typical High $2.63 | Professional | 53 · Discontinued | $2.57 | $2.57 | $2.63 |
Where South Carolina sits
The same service costs 5.2 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· 8th of 51
$22.39
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.