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 $1.86 Median $1.86 Typical High $5.25 | Facility | None | $1.86 | $1.86 | $5.25 |
Aetna Setting Professional Modifier None Typical Low $1.82 Median $1.86 Typical High $1.95 | Professional | None | $1.82 | $1.86 | $1.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $1.78 Median $5.25 Typical High $6.31 | Professional | None | $1.78 | $5.25 | $6.31 |
Cigna Setting Facility Modifier None Typical Low $2.04 Median $3.09 Typical High $4.37 | Facility | None | $2.04 | $3.09 | $4.37 |
Cigna Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.78 | Professional | None | $1.78 | $1.78 | $1.78 |
Medcost Setting Facility Modifier None Typical Low $1.86 Median $2.51 Typical High $6.31 | Facility | None | $1.86 | $2.51 | $6.31 |
Medcost Setting Professional Modifier None Typical Low $2.57 Median $6.31 Typical High $6.31 | Professional | None | $2.57 | $6.31 | $6.31 |
United Setting Professional Modifier None Typical Low $1.78 Median $1.78 Typical High $1.95 | Professional | None | $1.78 | $1.78 | $1.95 |
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 $1.78 Median $1.78 Typical High $1.78 | Professional | JZ · No drug discarded | $1.78 | $1.78 | $1.78 |
Where South Carolina sits
The same service costs 3.0 times more in Wyoming than in Washington, DC. 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· 4th of 51
$2.63
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.