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 $2.24 Median $2.24 Typical High $2.24 | Facility | None | $2.24 | $2.24 | $2.24 |
Aetna Setting Professional Modifier None Typical Low $1.86 Median $2.24 Typical High $2.24 | Professional | None | $1.86 | $2.24 | $2.24 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1.17 Median $2.19 Typical High $3.47 | Facility | None | $1.17 | $2.19 | $3.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2.14 Median $3.09 Typical High $3.47 | Professional | None | $2.14 | $3.09 | $3.47 |
Cigna Setting Facility Modifier None Typical Low $2.45 Median $3.72 Typical High $5.25 | Facility | None | $2.45 | $3.72 | $5.25 |
Cigna Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.14 | Professional | None | $2.14 | $2.14 | $2.14 |
Medcost Setting Facility Modifier None Typical Low $2.24 Median $2.82 Typical High $5.62 | Facility | None | $2.24 | $2.82 | $5.62 |
Molina Setting Professional Modifier None Typical Low $1.86 Median $2.14 Typical High $2.69 | Professional | None | $1.86 | $2.14 | $2.69 |
United Setting Facility Modifier None Typical Low $2.14 Median $2.14 Typical High $4.57 | Facility | None | $2.14 | $2.14 | $4.57 |
United Setting Professional Modifier None Typical Low $2.14 Median $2.14 Typical High $2.34 | Professional | None | $2.14 | $2.14 | $2.34 |
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 $2.00 Median $2.00 Typical High $2.00 | Professional | JZ · No drug discarded | $2.00 | $2.00 | $2.00 |
Where South Carolina sits
The same service costs 1.6 times more in Arizona than in Mississippi. 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· 4th of 51
$2.57
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.