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 $64.57 Median $64.57 Typical High $64.57 | Facility | None | $64.57 | $64.57 | $64.57 |
Aetna Setting Professional Modifier None Typical Low $58.88 Median $64.57 Typical High $64.57 | Professional | None | $58.88 | $64.57 | $64.57 |
BCBS South Carolina Setting Facility Modifier None Typical Low $57.54 Median $87.10 Typical High $147.91 | Facility | None | $57.54 | $87.10 | $147.91 |
BCBS South Carolina Setting Professional Modifier None Typical Low $61.66 Median $75.86 Typical High $83.18 | Professional | None | $61.66 | $75.86 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $69.18 Median $107.15 Typical High $147.91 | Facility | None | $69.18 | $107.15 | $147.91 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | None | $61.66 | $61.66 | $61.66 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $83.18 Typical High $173.78 | Facility | None | $64.57 | $83.18 | $173.78 |
United Setting Facility Modifier None Typical Low $61.66 Median $61.66 Typical High $131.83 | Facility | None | $61.66 | $61.66 | $131.83 |
United Setting Professional Modifier None Typical Low $60.26 Median $60.26 Typical High $66.07 | Professional | None | $60.26 | $60.26 | $66.07 |
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 $61.66 Median $61.66 Typical High $61.66 | Professional | JZ · No drug discarded | $61.66 | $61.66 | $61.66 |
Where South Carolina sits
The same service costs 1.9 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· 3rd of 51
$79.43
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.