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 $81.28 Median $81.28 Typical High $81.28 | Facility | None | $81.28 | $81.28 | $81.28 |
Aetna Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $104.71 | Professional | None | $81.28 | $81.28 | $104.71 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $61.66 Median $61.66 Typical High $77.62 | Professional | UE · Used equipment | $61.66 | $61.66 | $77.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $147.91 Median $165.96 Typical High $165.96 | Facility | None | $147.91 | $165.96 | $165.96 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $165.96 | Professional | None | $102.33 | $109.65 | $165.96 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $16.22 Median $16.60 Typical High $16.60 | Professional | RR · Rental | $16.22 | $16.60 | $16.60 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | UE · Used equipment | $123.03 | $123.03 | $123.03 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $123.03 | Facility | None | $95.50 | $95.50 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $123.03 | Professional | None | $81.28 | $95.50 | $123.03 |
Medcost Setting Professional Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | None | $95.50 | $95.50 | $95.50 |
Medcost Setting Facility Modifier None Typical Low $77.62 Median $97.72 Typical High $204.17 | Facility | None | $77.62 | $97.72 | $204.17 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $138.04 | Professional | None | $123.03 | $123.03 | $138.04 |
Molina Setting Professional Modifier None Typical Low $9.55 Median $70.79 Typical High $95.50 | Professional | None | $9.55 | $70.79 | $95.50 |
United Setting Professional Modifier None Typical Low $54.95 Median $74.13 Typical High $114.82 | Professional | None | $54.95 | $74.13 | $114.82 |
United Setting Professional Modifier RR · Rental Typical Low $5.50 Median $7.41 Typical High $11.48 | Professional | RR · Rental | $5.50 | $7.41 | $11.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $41.69 Median $54.95 Typical High $87.10 | Professional | UE · Used equipment | $41.69 | $54.95 | $87.10 |
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 $177.83 Median $177.83 Typical High $177.83 | Professional | KE · Bid item, non-bid base | $177.83 | $177.83 | $177.83 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $169.82 Median $169.82 Typical High $169.82 | Professional | KU · Bidding program group 3 | $169.82 | $169.82 | $169.82 |
Where South Carolina sits
The same service costs 2.5 times more in Hawaii than in New Mexico. 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· 28th of 51
$110
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.