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 $12.02 Median $12.02 Typical High $12.02 | Facility | None | $12.02 | $12.02 | $12.02 |
Aetna Setting Professional Modifier None Typical Low $11.48 Median $12.02 Typical High $12.30 | Professional | None | $11.48 | $12.02 | $12.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $33.11 | Facility | None | $12.88 | $19.95 | $33.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $11.48 Median $14.79 Typical High $16.60 | Professional | None | $11.48 | $14.79 | $16.60 |
Cigna Setting Facility Modifier None Typical Low $12.88 Median $19.95 Typical High $28.18 | Facility | None | $12.88 | $19.95 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | None | $11.48 | $11.48 | $11.48 |
Medcost Setting Facility Modifier None Typical Low $12.02 Median $16.22 Typical High $37.15 | Facility | None | $12.02 | $16.22 | $37.15 |
United Setting Facility Modifier None Typical Low $11.48 Median $11.48 Typical High $24.55 | Facility | None | $11.48 | $11.48 | $24.55 |
United Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $12.88 | Professional | None | $11.75 | $11.75 | $12.88 |
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 $11.48 Median $11.48 Typical High $11.48 | Professional | JZ · No drug discarded | $11.48 | $11.48 | $11.48 |
Where South Carolina sits
The same service costs 1.8 times more in Alaska than in Georgia. 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· 7th of 51
$14.79
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.