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 $0.79 Median $0.93 Typical High $1.20 | Facility | None | $0.79 | $0.93 | $1.20 |
Aetna Setting Professional Modifier None Typical Low $0.79 Median $0.79 Typical High $1.17 | Professional | None | $0.79 | $0.79 | $1.17 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1.26 Median $1.55 Typical High $8.71 | Facility | None | $1.26 | $1.55 | $8.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.12 Median $0.76 Typical High $0.83 | Professional | None | $0.12 | $0.76 | $0.83 |
Cigna Setting Facility Modifier None Typical Low $0.85 Median $1.32 Typical High $1.82 | Facility | None | $0.85 | $1.32 | $1.82 |
Cigna Setting Professional Modifier None Typical Low $0.76 Median $0.76 Typical High $0.76 | Professional | None | $0.76 | $0.76 | $0.76 |
Medcost Setting Facility Modifier None Typical Low $0.78 Median $0.87 Typical High $2.14 | Facility | None | $0.78 | $0.87 | $2.14 |
Medcost Setting Professional Modifier None Typical Low $1.45 Median $1.45 Typical High $2.00 | Professional | None | $1.45 | $1.45 | $2.00 |
United Setting Professional Modifier None Typical Low $0.69 Median $0.72 Typical High $0.83 | Professional | None | $0.69 | $0.72 | $0.83 |
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 $1.05 Median $1.05 Typical High $1.07 | Professional | JZ · No drug discarded | $1.05 | $1.05 | $1.07 |
Where South Carolina sits
The same service costs 5.2 times more in Vermont 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· 39th of 51
$0.76
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.