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 $1,698.24 Median $1,698.24 Typical High $1,698.24 | Facility | None | $1,698.24 | $1,698.24 | $1,698.24 |
Aetna Setting Professional Modifier None Typical Low $1,698.24 Median $1,698.24 Typical High $1,778.28 | Professional | None | $1,698.24 | $1,698.24 | $1,778.28 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $354.81 Median $398.11 Typical High $398.11 | Facility | RR · Rental | $354.81 | $398.11 | $398.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,311.31 Median $4,073.80 Typical High $4,570.88 | Professional | None | $3,311.31 | $4,073.80 | $4,570.88 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $323.59 Median $407.38 Typical High $407.38 | Professional | RR · Rental | $323.59 | $407.38 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $302.00 Median $302.00 Typical High $302.00 | Facility | None | $302.00 | $302.00 | $302.00 |
Cigna Setting Professional Modifier None Typical Low $257.04 Median $302.00 Typical High $302.00 | Professional | None | $257.04 | $302.00 | $302.00 |
Medcost Setting Professional Modifier RR · Rental Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | RR · Rental | $309.03 | $309.03 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $251.19 Median $1,698.24 Typical High $2,187.76 | Facility | None | $251.19 | $1,698.24 | $2,187.76 |
Medcost Setting Professional Modifier None Typical Low $467.74 Median $1,698.24 Typical High $3,981.07 | Professional | None | $467.74 | $1,698.24 | $3,981.07 |
United Setting Professional Modifier None Typical Low $107.15 Median $288.40 Typical High $2,041.74 | Professional | None | $107.15 | $288.40 | $2,041.74 |
United Setting Professional Modifier RR · Rental Typical Low $102.33 Median $158.49 Typical High $302.00 | Professional | RR · Rental | $102.33 | $158.49 | $302.00 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,288.25 Median $1,288.25 Typical High $1,288.25 | Professional | UE · Used equipment | $1,288.25 | $1,288.25 | $1,288.25 |
Where South Carolina sits
The same service costs 20.9 times more in South Carolina than in Illinois. 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
$3,981
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.