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 $331.13 Median $331.13 Typical High $537.03 | Facility | None | $331.13 | $331.13 | $537.03 |
Aetna Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $426.58 | Professional | None | $331.13 | $331.13 | $426.58 |
BCBS South Carolina Setting Facility Modifier None Typical Low $194.98 Median $295.12 Typical High $562.34 | Facility | None | $194.98 | $295.12 | $562.34 |
BCBS South Carolina Setting Professional Modifier None Typical Low $331.13 Median $489.78 Typical High $524.81 | Professional | None | $331.13 | $489.78 | $524.81 |
Cigna Setting Facility Modifier None Typical Low $389.05 Median $891.25 Typical High $1,230.27 | Facility | None | $389.05 | $891.25 | $1,230.27 |
Cigna Setting Professional Modifier None Typical Low $501.19 Median $501.19 Typical High $501.19 | Professional | None | $501.19 | $501.19 | $501.19 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $446.68 Typical High $1,000.00 | Facility | None | $281.84 | $446.68 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
United Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $707.95 | Facility | None | $331.13 | $331.13 | $707.95 |
United Setting Professional Modifier None Typical Low $331.13 Median $363.08 Typical High $537.03 | Professional | None | $331.13 | $363.08 | $537.03 |
1 more rate 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier JZ · No drug discarded Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | JZ · No drug discarded | $239.88 | $239.88 | $239.88 |
Where South Carolina sits
The same service costs 3.5 times more in Minnesota 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· 18th of 51
$457
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.