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 $204.17 Median $204.17 Typical High $204.17 | Facility | None | $204.17 | $204.17 | $204.17 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $199.53 Typical High $416.87 | Professional | None | $199.53 | $199.53 | $416.87 |
BCBS South Carolina Setting Facility Modifier None Typical Low $223.87 Median $457.09 Typical High $851.14 | Facility | None | $223.87 | $457.09 | $851.14 |
BCBS South Carolina Setting Professional Modifier None Typical Low $323.59 Median $398.11 Typical High $501.19 | Professional | None | $323.59 | $398.11 | $501.19 |
Cigna Setting Professional Modifier None Typical Low $245.47 Median $245.47 Typical High $245.47 | Professional | None | $245.47 | $245.47 | $245.47 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Facility | None | $204.17 | $204.17 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
United Setting Facility Modifier None Typical Low $524.81 Median $524.81 Typical High $524.81 | Facility | None | $524.81 | $524.81 | $524.81 |
United Setting Professional Modifier None Typical Low $234.42 Median $380.19 Typical High $501.19 | Professional | None | $234.42 | $380.19 | $501.19 |
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 HH · Mental health + substance use + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion + SI · Ambulance S to I Typical Low $794.33 Median $794.33 Typical High $794.33 | Professional | HH · Mental health + substance use + PH · Ambulance P to H + RH · Ambulance R to H + SH · Second concurrent infusion + SI · Ambulance S to I | $794.33 | $794.33 | $794.33 |
Where South Carolina sits
The same service costs 6.6 times more in Minnesota than in North Carolina. 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· 45th of 51
$324
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.