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 $173.78 Median $173.78 Typical High $173.78 | Facility | None | $173.78 | $173.78 | $173.78 |
Aetna Setting Professional Modifier None Typical Low $165.96 Median $173.78 Typical High $173.78 | Professional | None | $165.96 | $173.78 | $173.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $239.88 Typical High $407.38 | Facility | None | $169.82 | $239.88 | $407.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $165.96 Median $213.80 Typical High $239.88 | Professional | None | $165.96 | $213.80 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $186.21 Median $288.40 Typical High $407.38 | Facility | None | $186.21 | $288.40 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Medcost Setting Facility Modifier None Typical Low $173.78 Median $234.42 Typical High $478.63 | Facility | None | $173.78 | $234.42 | $478.63 |
United Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $354.81 | Facility | None | $165.96 | $165.96 | $354.81 |
United Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $177.83 | Professional | None | $162.18 | $162.18 | $177.83 |
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 $190.55 Median $190.55 Typical High $190.55 | Professional | JZ · No drug discarded | $190.55 | $190.55 | $190.55 |
Where South Carolina sits
The same service costs 1.6 times more in Arizona 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· 4th of 51
$214
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.