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 $8.91 Median $10.72 Typical High $23.99 | Facility | None | $8.91 | $10.72 | $23.99 |
Aetna Setting Professional Modifier None Typical Low $8.91 Median $8.91 Typical High $22.91 | Professional | None | $8.91 | $8.91 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1.95 Median $2.40 Typical High $87.10 | Facility | None | $1.95 | $2.40 | $87.10 |
BCBS South Carolina Setting Professional Modifier None Typical Low $8.51 Median $23.99 Typical High $26.30 | Professional | None | $8.51 | $23.99 | $26.30 |
Cigna Setting Facility Modifier None Typical Low $9.55 Median $14.79 Typical High $20.89 | Facility | None | $9.55 | $14.79 | $20.89 |
Cigna Setting Professional Modifier None Typical Low $8.51 Median $8.51 Typical High $8.51 | Professional | None | $8.51 | $8.51 | $8.51 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $12.02 Typical High $46.77 | Facility | None | $8.91 | $12.02 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $32.36 Typical High $32.36 | Professional | None | $19.05 | $32.36 | $32.36 |
United Setting Professional Modifier None Typical Low $9.33 Median $9.33 Typical High $10.23 | Professional | None | $9.33 | $9.33 | $10.23 |
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 $13.18 Median $13.18 Typical High $13.18 | Professional | JZ · No drug discarded | $13.18 | $13.18 | $13.18 |
Where South Carolina sits
The same service costs 6.5 times more in Oklahoma 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· 4th of 51
$21.88
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.