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 $16.98 Median $16.98 Typical High $16.98 | Facility | None | $16.98 | $16.98 | $16.98 |
Aetna Setting Professional Modifier None Typical Low $16.22 Median $16.98 Typical High $30.20 | Professional | None | $16.22 | $16.98 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $50.12 Median $69.18 Typical High $104.71 | Facility | None | $50.12 | $69.18 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $29.51 | Professional | None | $16.22 | $16.22 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $16.60 Median $28.18 Typical High $39.81 | Facility | None | $16.60 | $28.18 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $16.22 Typical High $16.22 | Professional | None | $16.22 | $16.22 | $16.22 |
Medcost Setting Facility Modifier None Typical Low $16.98 Median $22.91 Typical High $97.72 | Facility | None | $16.98 | $22.91 | $97.72 |
United Setting Facility Modifier None Typical Low $16.22 Median $16.22 Typical High $34.67 | Facility | None | $16.22 | $16.22 | $34.67 |
United Setting Professional Modifier None Typical Low $13.80 Median $14.45 Typical High $16.60 | Professional | None | $13.80 | $14.45 | $16.60 |
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 $15.14 Median $15.14 Typical High $15.14 | Professional | JZ · No drug discarded | $15.14 | $15.14 | $15.14 |
Where South Carolina sits
The same service costs 5.9 times more in Wyoming than in North Dakota. 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· 11th of 51
$18.62
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.