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 $70.79 Median $70.79 Typical High $91.20 | Facility | None | $70.79 | $70.79 | $91.20 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $70.79 Typical High $131.83 | Professional | None | $67.61 | $70.79 | $131.83 |
BCBS South Carolina Setting Facility Modifier None Typical Low $239.88 Median $363.08 Typical High $549.54 | Facility | None | $239.88 | $363.08 | $549.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $67.61 Median $169.82 Typical High $239.88 | Professional | None | $67.61 | $169.82 | $239.88 |
Cigna Setting Facility Modifier None Typical Low $87.10 Median $117.49 Typical High $165.96 | Facility | None | $87.10 | $117.49 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $67.61 Typical High $67.61 | Professional | None | $67.61 | $67.61 | $67.61 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $95.50 Typical High $389.05 | Facility | None | $70.79 | $95.50 | $389.05 |
United Setting Facility Modifier None Typical Low $67.61 Median $67.61 Typical High $144.54 | Facility | None | $67.61 | $67.61 | $144.54 |
United Setting Professional Modifier None Typical Low $79.43 Median $85.11 Typical High $95.50 | Professional | None | $79.43 | $85.11 | $95.50 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | JZ · No drug discarded | $112.20 | $112.20 | $112.20 |
Where South Carolina sits
The same service costs 2.7 times more in South Carolina 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· 1st of 51
$182
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.