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 $1.95 Median $2.40 Typical High $3.63 | Facility | None | $1.95 | $2.40 | $3.63 |
Aetna Setting Professional Modifier None Typical Low $1.17 Median $2.40 Typical High $3.09 | Professional | None | $1.17 | $2.40 | $3.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $0.76 Median $10.23 Typical High $19.05 | Facility | None | $0.76 | $10.23 | $19.05 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.48 Median $1.82 Typical High $2.29 | Professional | None | $0.48 | $1.82 | $2.29 |
Cigna Setting Facility Modifier None Typical Low $2.57 Median $3.98 Typical High $5.62 | Facility | None | $2.57 | $3.98 | $5.62 |
Cigna Setting Professional Modifier None Typical Low $2.29 Median $2.29 Typical High $2.29 | Professional | None | $2.29 | $2.29 | $2.29 |
Medcost Setting Facility Modifier None Typical Low $0.85 Median $2.40 Typical High $4.17 | Facility | None | $0.85 | $2.40 | $4.17 |
Medcost Setting Professional Modifier None Typical Low $0.89 Median $0.89 Typical High $3.98 | Professional | None | $0.89 | $0.89 | $3.98 |
United Setting Professional Modifier None Typical Low $1.66 Median $1.78 Typical High $2.00 | Professional | None | $1.66 | $1.78 | $2.00 |
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 $2.29 Median $2.29 Typical High $2.51 | Professional | JZ · No drug discarded | $2.29 | $2.29 | $2.51 |
Where South Carolina sits
The same service costs 3.8 times more in Alaska than in Oklahoma. 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· 26th of 51
$2.29
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.