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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $19.05 | Professional | None | $18.62 | $18.62 | $19.05 |
Ambetter Setting Professional Modifier None Typical Low $16.60 Median $44.67 Typical High $44.67 | Professional | None | $16.60 | $44.67 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $147.91 | Facility | None | $144.54 | $144.54 | $147.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $40.74 Typical High $44.67 | Professional | None | $24.55 | $40.74 | $44.67 |
BCBS South Carolina Setting Professional Modifier QW · Waived lab test Typical Low $23.99 Median $23.99 Typical High $25.70 | Professional | QW · Waived lab test | $23.99 | $23.99 | $25.70 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $61.66 Typical High $147.91 | Facility | None | $45.71 | $61.66 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $25.12 | Professional | None | $12.88 | $12.88 | $25.12 |
Medcost Setting Facility Modifier None Typical Low $18.20 Median $22.39 Typical High $43.65 | Facility | None | $18.20 | $22.39 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $33.11 Typical High $33.11 | Professional | None | $28.84 | $33.11 | $33.11 |
United Setting Facility Modifier None Typical Low $21.88 Median $21.88 Typical High $28.84 | Facility | None | $21.88 | $21.88 | $28.84 |
United Setting Professional Modifier None Typical Low $10.00 Median $16.60 Typical High $33.11 | Professional | None | $10.00 | $16.60 | $33.11 |
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 $9.33 Median $9.33 Typical High $9.55 | Professional | 52 · Reduced service | $9.33 | $9.33 | $9.55 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $3.80 Median $3.80 Typical High $3.89 | Professional | 53 · Discontinued | $3.80 | $3.80 | $3.89 |
Where South Carolina sits
The same service costs 3.6 times more in Hawaii than in Maryland. 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· 16th of 51
$25.12
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.