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 $11.48 Median $11.48 Typical High $11.48 | Facility | None | $11.48 | $11.48 | $11.48 |
Aetna Setting Professional Modifier None Typical Low $11.22 Median $11.48 Typical High $14.79 | Professional | None | $11.22 | $11.48 | $14.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $38.02 Typical High $63.10 | Facility | None | $20.89 | $38.02 | $63.10 |
BCBS South Carolina Setting Professional Modifier None Typical Low $10.96 Median $26.92 Typical High $43.65 | Professional | None | $10.96 | $26.92 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $12.59 Median $19.05 Typical High $26.92 | Facility | None | $12.59 | $19.05 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $10.96 | Professional | None | $10.96 | $10.96 | $10.96 |
Medcost Setting Facility Modifier None Typical Low $11.48 Median $15.49 Typical High $47.86 | Facility | None | $11.48 | $15.49 | $47.86 |
United Setting Facility Modifier None Typical Low $10.96 Median $10.96 Typical High $23.44 | Facility | None | $10.96 | $10.96 | $23.44 |
United Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $12.30 | Professional | None | $11.22 | $11.22 | $12.30 |
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 JW · Drug discarded Typical Low $15.85 Median $15.85 Typical High $15.85 | Professional | JW · Drug discarded | $15.85 | $15.85 | $15.85 |
Where South Carolina sits
The same service costs 3.7 times more in Wyoming than in Georgia. 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· 2nd of 51
$26.92
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.