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 $51.29 Median $51.29 Typical High $51.29 | Facility | None | $51.29 | $51.29 | $51.29 |
Aetna Setting Professional Modifier None Typical Low $46.77 Median $51.29 Typical High $52.48 | Professional | None | $46.77 | $51.29 | $52.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $69.18 Median $109.65 Typical High $194.98 | Facility | None | $69.18 | $109.65 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.72 Median $48.98 Typical High $72.44 | Professional | None | $10.72 | $48.98 | $72.44 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $85.11 Typical High $120.23 | Facility | None | $56.23 | $85.11 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Professional | None | $48.98 | $48.98 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $46.77 Median $69.18 Typical High $144.54 | Facility | None | $46.77 | $69.18 | $144.54 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
United Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $107.15 | Facility | None | $48.98 | $48.98 | $107.15 |
United Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | None | $48.98 | $48.98 | $54.95 |
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 $53.70 Median $53.70 Typical High $53.70 | Professional | JZ · No drug discarded | $53.70 | $53.70 | $53.70 |
Where South Carolina sits
The same service costs 1.9 times more in Wyoming than in Kentucky. 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· 20th of 51
$53.70
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.