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 $28.18 Median $28.18 Typical High $28.18 | Facility | None | $28.18 | $28.18 | $28.18 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $28.18 Typical High $36.31 | Professional | None | $26.92 | $28.18 | $36.31 |
BCBS South Carolina Setting Facility Modifier None Typical Low $46.77 Median $83.18 Typical High $190.55 | Facility | None | $46.77 | $83.18 | $190.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $63.10 | Professional | None | $26.92 | $26.92 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $46.77 Typical High $66.07 | Facility | None | $30.20 | $46.77 | $66.07 |
Cigna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $26.92 | Professional | None | $26.92 | $26.92 | $26.92 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $38.02 Typical High $91.20 | Facility | None | $28.18 | $38.02 | $91.20 |
United Setting Facility Modifier None Typical Low $26.92 Median $26.92 Typical High $57.54 | Facility | None | $26.92 | $26.92 | $57.54 |
United Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $29.51 | Professional | None | $26.92 | $26.92 | $29.51 |
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 $27.54 Median $27.54 Typical High $27.54 | Professional | JZ · No drug discarded | $27.54 | $27.54 | $27.54 |
Where South Carolina sits
The same service costs 2.9 times more in Wyoming than in Minnesota. 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· 14th of 51
$31.62
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.