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 $0.11 Median $0.12 Typical High $0.17 | Facility | None | $0.11 | $0.12 | $0.17 |
Aetna Setting Professional Modifier None Typical Low $0.10 Median $0.12 Typical High $0.15 | Professional | None | $0.10 | $0.12 | $0.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.10 Median $1.70 Typical High $2.09 | Facility | None | $0.10 | $1.70 | $2.09 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.10 Median $0.11 Typical High $0.12 | Professional | None | $0.10 | $0.11 | $0.12 |
Cigna Setting Facility Modifier None Typical Low $0.12 Median $0.19 Typical High $0.27 | Facility | None | $0.12 | $0.19 | $0.27 |
Cigna Setting Professional Modifier None Typical Low $0.11 Median $0.11 Typical High $0.11 | Professional | None | $0.11 | $0.11 | $0.11 |
Medcost Setting Facility Modifier None Typical Low $0.05 Median $0.13 Typical High $1.45 | Facility | None | $0.05 | $0.13 | $1.45 |
Medcost Setting Professional Modifier None Typical Low $0.04 Median $0.65 Typical High $0.65 | Professional | None | $0.04 | $0.65 | $0.65 |
United Setting Professional Modifier None Typical Low $0.10 Median $0.10 Typical High $0.11 | Professional | None | $0.10 | $0.10 | $0.11 |
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 $8.91 Median $8.91 Typical High $8.91 | Professional | JZ · No drug discarded | $8.91 | $8.91 | $8.91 |
Where South Carolina sits
The same service costs 14.8 times more in Wyoming than in Rhode Island. 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· 28th of 51
$0.11
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.