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 $53.70 Median $53.70 Typical High $53.70 | Facility | None | $53.70 | $53.70 | $53.70 |
Aetna Setting Professional Modifier None Typical Low $53.70 Median $53.70 Typical High $67.61 | Professional | None | $53.70 | $53.70 | $67.61 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | UE · Used equipment | $39.81 | $39.81 | $51.29 |
BCBS South Carolina Setting Facility Modifier None Typical Low $100.00 Median $112.20 Typical High $112.20 | Facility | None | $100.00 | $112.20 | $112.20 |
BCBS South Carolina Setting Professional Modifier None Typical Low $74.13 Median $75.86 Typical High $112.20 | Professional | None | $74.13 | $75.86 | $112.20 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $10.96 Median $11.22 Typical High $11.22 | Professional | RR · Rental | $10.96 | $11.22 | $11.22 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | UE · Used equipment | $83.18 | $83.18 | $83.18 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $64.57 Typical High $147.91 | Facility | None | $48.98 | $64.57 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $97.72 | Professional | None | $89.13 | $89.13 | $97.72 |
Molina Setting Professional Modifier None Typical Low $6.03 Median $44.67 Typical High $60.26 | Professional | None | $6.03 | $44.67 | $60.26 |
United Setting Professional Modifier None Typical Low $35.48 Median $48.98 Typical High $81.28 | Professional | None | $35.48 | $48.98 | $81.28 |
United Setting Professional Modifier RR · Rental Typical Low $3.55 Median $5.01 Typical High $8.13 | Professional | RR · Rental | $3.55 | $5.01 | $8.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $37.15 Typical High $60.26 | Professional | UE · Used equipment | $26.30 | $37.15 | $60.26 |
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | KE · Bid item, non-bid base | $120.23 | $120.23 | $120.23 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | KU · Bidding program group 3 | $120.23 | $120.23 | $120.23 |
Where South Carolina sits
The same service costs 2.7 times more in Kansas 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· 21st of 51
$75.86
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.