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 $8.32 Median $8.32 Typical High $8.32 | Facility | None | $8.32 | $8.32 | $8.32 |
Aetna Setting Professional Modifier None Typical Low $8.13 Median $8.32 Typical High $8.51 | Professional | None | $8.13 | $8.32 | $8.51 |
BCBS South Carolina Setting Facility Modifier None Typical Low $9.12 Median $12.59 Typical High $23.44 | Facility | None | $9.12 | $12.59 | $23.44 |
BCBS South Carolina Setting Professional Modifier None Typical Low $7.94 Median $11.48 Typical High $12.59 | Professional | None | $7.94 | $11.48 | $12.59 |
Cigna Setting Facility Modifier None Typical Low $11.22 Median $13.80 Typical High $19.50 | Facility | None | $11.22 | $13.80 | $19.50 |
Cigna Setting Professional Modifier None Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None | $7.94 | $7.94 | $7.94 |
Medcost Setting Facility Modifier None Typical Low $8.32 Median $11.22 Typical High $21.88 | Facility | None | $8.32 | $11.22 | $21.88 |
United Setting Facility Modifier None Typical Low $7.94 Median $7.94 Typical High $16.98 | Facility | None | $7.94 | $7.94 | $16.98 |
United Setting Professional Modifier None Typical Low $7.94 Median $8.32 Typical High $9.55 | Professional | None | $7.94 | $8.32 | $9.55 |
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 EA · Anemia drug, chemotherapy Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | EA · Anemia drug, chemotherapy | $7.94 | $7.94 | $7.94 |
Where South Carolina sits
The same service costs 1.9 times more in Oklahoma than in Florida. 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· 5th of 51
$11.48
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.