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 $3.09 Median $3.09 Typical High $3.98 | Facility | None | $3.09 | $3.09 | $3.98 |
Aetna Setting Professional Modifier None Typical Low $2.95 Median $3.09 Typical High $3.98 | Professional | None | $2.95 | $3.09 | $3.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $2.51 Median $3.09 Typical High $4.57 | Facility | None | $2.51 | $3.09 | $4.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.63 Median $2.95 Typical High $3.31 | Professional | None | $2.63 | $2.95 | $3.31 |
Medcost Setting Facility Modifier None Typical Low $3.09 Median $4.17 Typical High $11.75 | Facility | None | $3.09 | $4.17 | $11.75 |
Medcost Setting Professional Modifier None Typical Low $2.51 Median $2.51 Typical High $3.98 | Professional | None | $2.51 | $2.51 | $3.98 |
United Setting Professional Modifier None Typical Low $3.63 Median $3.80 Typical High $4.27 | Professional | None | $3.63 | $3.80 | $4.27 |
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 $3.98 Median $3.98 Typical High $3.98 | Professional | JZ · No drug discarded | $3.98 | $3.98 | $3.98 |
Where South Carolina sits
The same service costs 2.8 times more in Wyoming than in Florida. 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· 48th of 51
$3.02
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.