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 $3.98 Median $8.51 Typical High $12.88 | Facility | None | $3.98 | $8.51 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $3.31 Median $8.51 Typical High $10.96 | Professional | None | $3.31 | $8.51 | $10.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $3.24 Median $6.76 Typical High $11.48 | Facility | None | $3.24 | $6.76 | $11.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $0.91 Median $1.05 Typical High $8.51 | Professional | None | $0.91 | $1.05 | $8.51 |
Cigna Setting Facility Modifier None Typical Low $9.12 Median $14.13 Typical High $19.95 | Facility | None | $9.12 | $14.13 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $8.13 Median $8.13 Typical High $8.13 | Professional | None | $8.13 | $8.13 | $8.13 |
Medcost Setting Facility Modifier None Typical Low $5.25 Median $8.51 Typical High $13.80 | Facility | None | $5.25 | $8.51 | $13.80 |
Medcost Setting Professional Modifier None Typical Low $2.00 Median $2.45 Typical High $2.45 | Professional | None | $2.00 | $2.45 | $2.45 |
United Setting Professional Modifier None Typical Low $4.47 Median $4.47 Typical High $4.90 | Professional | None | $4.47 | $4.47 | $4.90 |
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 $6.17 Median $6.17 Typical High $9.55 | Professional | JZ · No drug discarded | $6.17 | $6.17 | $9.55 |
Where South Carolina sits
The same service costs 10.7 times more in Minnesota 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· 17th of 51
$8.13
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.