How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $42.66 Median $42.66 Typical High $66.07 | Facility | None | $42.66 | $42.66 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $43.65 | Professional | None | $40.74 | $42.66 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $54.95 | Professional | None | $40.74 | $48.98 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $45.71 Median $70.79 Typical High $100.00 | Facility | None | $45.71 | $70.79 | $100.00 |
Cigna Setting Professional Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | None | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $45.71 | Professional | None | $45.71 | $45.71 | $45.71 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $46.77 Typical High $117.49 | Facility | None | $42.66 | $46.77 | $117.49 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $66.07 | Professional | None | $36.31 | $42.66 | $66.07 |
United Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $43.65 | Professional | None | $39.81 | $39.81 | $43.65 |
2 more rates 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 $40.74 Median $40.74 Typical High $40.74 | Professional | JZ · No drug discarded | $40.74 | $40.74 | $40.74 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $21.38 Median $22.91 Typical High $33.88 | Professional | 51 · Multiple procedures | $21.38 | $22.91 | $33.88 |
Where South Carolina sits
Rates are fairly even across states for this service. 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
$42.66
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.