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 $23.44 Median $23.44 Typical High $23.44 | Facility | None | $23.44 | $23.44 | $23.44 |
Aetna Setting Professional Modifier None Typical Low $16.60 Median $23.44 Typical High $30.20 | Professional | None | $16.60 | $23.44 | $30.20 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $12.59 Median $17.78 Typical High $17.78 | Professional | UE · Used equipment | $12.59 | $17.78 | $17.78 |
Ambetter Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $34.67 | Professional | None | $33.11 | $33.11 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $45.71 Median $51.29 Typical High $51.29 | Facility | None | $45.71 | $51.29 | $51.29 |
BCBS South Carolina Setting Professional Modifier None Typical Low $38.02 Median $51.29 Typical High $51.29 | Professional | None | $38.02 | $51.29 | $51.29 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $3.80 Median $5.01 Typical High $5.13 | Professional | RR · Rental | $3.80 | $5.01 | $5.13 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.02 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $24.55 Median $24.55 Typical High $32.36 | Facility | None | $24.55 | $24.55 | $32.36 |
Cigna Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $41.69 | Professional | None | $20.42 | $24.55 | $41.69 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $19.95 Median $26.30 Typical High $74.13 | Facility | None | $19.95 | $26.30 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $43.65 Median $50.12 Typical High $50.12 | Professional | None | $43.65 | $50.12 | $50.12 |
Molina Setting Professional Modifier None Typical Low $2.45 Median $18.62 Typical High $24.55 | Professional | None | $2.45 | $18.62 | $24.55 |
United Setting Professional Modifier None Typical Low $14.45 Median $21.88 Typical High $33.88 | Professional | None | $14.45 | $21.88 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.45 Median $2.19 Typical High $3.39 | Professional | RR · Rental | $1.45 | $2.19 | $3.39 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $16.22 Typical High $25.70 | Professional | UE · Used equipment | $10.96 | $16.22 | $25.70 |
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KU · Bidding program group 3 | $61.66 | $61.66 | $61.66 |
Where South Carolina sits
The same service costs 13.5 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· 3rd of 51
$51.29
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.