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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $204.17 Median $218.78 Typical High $263.03 | Professional | None | $204.17 | $218.78 | $263.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $645.65 | Facility | None | $162.18 | $239.88 | $645.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $245.47 | Professional | None | $208.93 | $208.93 | $245.47 |
Cigna Setting Facility Modifier None Typical Low $295.12 Median $363.08 Typical High $512.86 | Facility | None | $295.12 | $363.08 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $239.88 Typical High $616.60 | Facility | None | $162.18 | $239.88 | $616.60 |
Medcost Setting Professional Modifier None Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | None | $151.36 | $151.36 | $151.36 |
United Setting Facility Modifier None Typical Low $208.93 Median $208.93 Typical High $446.68 | Facility | None | $208.93 | $208.93 | $446.68 |
United Setting Professional Modifier None Typical Low $186.21 Median $199.53 Typical High $223.87 | Professional | None | $186.21 | $199.53 | $223.87 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | JZ · No drug discarded | $177.83 | $177.83 | $177.83 |
Where South Carolina sits
The same service costs 1.6 times more in Arizona than in Rhode Island. 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· 9th of 51
$234
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.