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 $3.80 Median $3.80 Typical High $3.80 | Facility | None | $3.80 | $3.80 | $3.80 |
Aetna Setting Professional Modifier None Typical Low $3.72 Median $3.72 Typical High $7.41 | Professional | None | $3.72 | $3.72 | $7.41 |
BCBS South Carolina Setting Facility Modifier None Typical Low $4.79 Median $134.90 Typical High $234.42 | Facility | None | $4.79 | $134.90 | $234.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.31 Median $7.08 Typical High $8.91 | Professional | None | $6.31 | $7.08 | $8.91 |
Cigna Setting Professional Modifier None Typical Low $4.57 Median $4.57 Typical High $4.57 | Professional | None | $4.57 | $4.57 | $4.57 |
Medcost Setting Facility Modifier None Typical Low $3.80 Median $3.80 Typical High $4.90 | Facility | None | $3.80 | $3.80 | $4.90 |
Medcost Setting Professional Modifier None Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | None | $7.24 | $7.24 | $7.24 |
United Setting Facility Modifier None Typical Low $9.33 Median $9.33 Typical High $9.33 | Facility | None | $9.33 | $9.33 | $9.33 |
United Setting Professional Modifier None Typical Low $6.03 Median $6.92 Typical High $8.91 | Professional | None | $6.03 | $6.92 | $8.91 |
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 RH · Ambulance R to H Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RH · Ambulance R to H | $13.80 | $13.80 | $13.80 |
Where South Carolina sits
The same service costs 12.9 times more in Texas than in North Carolina. 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· 39th of 51
$6.92
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.