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 $575.44 Median $575.44 Typical High $575.44 | Facility | None | $575.44 | $575.44 | $575.44 |
Aetna Setting Professional Modifier None Typical Low $575.44 Median $588.84 Typical High $630.96 | Professional | None | $575.44 | $588.84 | $630.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $524.81 Median $630.96 Typical High $1,318.26 | Facility | None | $524.81 | $630.96 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $446.68 Median $575.44 Typical High $724.44 | Professional | None | $446.68 | $575.44 | $724.44 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | None | $489.78 | $489.78 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $575.44 Median $575.44 Typical High $741.31 | Facility | None | $575.44 | $575.44 | $741.31 |
United Setting Facility Modifier None Typical Low $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
United Setting Professional Modifier None Typical Low $478.63 Median $549.54 Typical High $724.44 | Professional | None | $478.63 | $549.54 | $724.44 |
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 PH · Ambulance P to H + RH · Ambulance R to H Typical Low $1,148.15 Median $1,148.15 Typical High $1,148.15 | Professional | PH · Ambulance P to H + RH · Ambulance R to H | $1,148.15 | $1,148.15 | $1,148.15 |
Where South Carolina sits
The same service costs 7.1 times more in Montana than in Oregon. 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· 45th of 51
$575
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.