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 $114.82 Median $114.82 Typical High $177.83 | Facility | None | $114.82 | $114.82 | $177.83 |
Aetna Setting Professional Modifier None Typical Low $112.20 Median $114.82 Typical High $117.49 | Professional | None | $112.20 | $114.82 | $117.49 |
BCBS South Carolina Setting Facility Modifier None Typical Low $95.50 Median $177.83 Typical High $239.88 | Facility | None | $95.50 | $177.83 | $239.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $147.91 | Professional | None | $109.65 | $131.83 | $147.91 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $190.55 Typical High $269.15 | Facility | None | $125.89 | $190.55 | $269.15 |
Cigna Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Medcost Setting Facility Modifier None Typical Low $100.00 Median $128.82 Typical High $354.81 | Facility | None | $100.00 | $128.82 | $354.81 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $95.50 Typical High $95.50 | Professional | None | $48.98 | $95.50 | $95.50 |
United Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $120.23 | Professional | None | $107.15 | $107.15 | $120.23 |
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 $120.23 Median $120.23 Typical High $120.23 | Professional | JZ · No drug discarded | $120.23 | $120.23 | $120.23 |
Where South Carolina sits
The same service costs 1.7 times more in Arizona than in Texas. 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· 8th of 51
$132
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.