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 $47.86 Median $47.86 Typical High $47.86 | Facility | None | $47.86 | $47.86 | $47.86 |
Aetna Setting Professional Modifier None Typical Low $42.66 Median $47.86 Typical High $61.66 | Professional | None | $42.66 | $47.86 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $28.84 Median $43.65 Typical High $83.18 | Facility | None | $28.84 | $43.65 | $83.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $45.71 Median $66.07 Typical High $69.18 | Professional | None | $45.71 | $66.07 | $69.18 |
Cigna Setting Facility Modifier None Typical Low $51.29 Median $79.43 Typical High $112.20 | Facility | None | $51.29 | $79.43 | $112.20 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $27.54 Median $64.57 Typical High $125.89 | Facility | None | $27.54 | $64.57 | $125.89 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
United Setting Facility Modifier None Typical Low $45.71 Median $45.71 Typical High $97.72 | Facility | None | $45.71 | $45.71 | $97.72 |
United Setting Professional Modifier None Typical Low $44.67 Median $44.67 Typical High $48.98 | Professional | None | $44.67 | $44.67 | $48.98 |
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 $85.11 Median $85.11 Typical High $85.11 | Professional | JZ · No drug discarded | $85.11 | $85.11 | $85.11 |
Where South Carolina sits
The same service costs 1.6 times more in Arizona 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· 4th of 51
$63.10
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.