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 $134.90 Median $134.90 Typical High $134.90 | Facility | None | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Professional | None | $36.31 | $36.31 | $36.31 |
Ambetter Setting Professional Modifier None Typical Low $28.84 Median $85.11 Typical High $85.11 | Professional | None | $28.84 | $85.11 | $85.11 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $257.04 | Facility | None | $245.47 | $245.47 | $257.04 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $14.45 Typical High $36.31 | Professional | None | $7.94 | $14.45 | $36.31 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $46.77 Median $46.77 Typical High $48.98 | Professional | QW · Waived lab test | $46.77 | $46.77 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $95.50 Typical High $288.40 | Facility | None | $87.10 | $95.50 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $24.55 Median $24.55 Typical High $47.86 | Professional | None | $24.55 | $24.55 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $34.67 Median $41.69 Typical High $83.18 | Facility | None | $34.67 | $41.69 | $83.18 |
Medcost Setting Professional Modifier None Typical Low $19.50 Median $19.50 Typical High $56.23 | Professional | None | $19.50 | $19.50 | $56.23 |
United Setting Facility Modifier None Typical Low $41.69 Median $41.69 Typical High $56.23 | Facility | None | $41.69 | $41.69 | $56.23 |
United Setting Professional Modifier None Typical Low $9.77 Median $19.50 Typical High $42.66 | Professional | None | $9.77 | $19.50 | $42.66 |
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 $18.20 Median $18.20 Typical High $18.62 | Professional | 52 · Reduced service | $18.20 | $18.20 | $18.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $7.41 | Professional | 53 · Discontinued | $7.24 | $7.24 | $7.41 |
Where South Carolina sits
The same service costs 4.9 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· 23rd of 51
$36.31
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.