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 $28.84 Median $28.84 Typical High $28.84 | Facility | None | $28.84 | $28.84 | $28.84 |
Aetna Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $35.48 | Professional | None | $28.84 | $28.84 | $35.48 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $21.38 Median $21.38 Typical High $26.92 | Professional | UE · Used equipment | $21.38 | $21.38 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $54.95 | Facility | None | $48.98 | $54.95 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $35.48 Median $41.69 Typical High $54.95 | Professional | None | $35.48 | $41.69 | $54.95 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $5.50 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.50 | $5.50 | $5.50 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $40.74 | $41.69 | $41.69 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $43.65 | Facility | None | $33.11 | $33.11 | $43.65 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $43.65 | Professional | None | $28.18 | $33.11 | $43.65 |
Medcost Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Professional | None | $33.11 | $33.11 | $33.11 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $34.67 Typical High $70.79 | Facility | None | $26.92 | $34.67 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $48.98 | Professional | None | $39.81 | $39.81 | $48.98 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $25.12 Typical High $33.11 | Professional | None | $3.31 | $25.12 | $33.11 |
United Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $37.15 | Professional | None | $19.05 | $24.55 | $37.15 |
United Setting Professional Modifier RR · Rental Typical Low $1.95 Median $2.51 Typical High $3.80 | Professional | RR · Rental | $1.95 | $2.51 | $3.80 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $18.62 Typical High $28.18 | Professional | UE · Used equipment | $14.45 | $18.62 | $28.18 |
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 $58.88 Median $58.88 Typical High $58.88 | Professional | KE · Bid item, non-bid base | $58.88 | $58.88 | $58.88 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | KU · Bidding program group 3 | $57.54 | $57.54 | $57.54 |
Where South Carolina sits
The same service costs 2.3 times more in Kansas 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· 15th of 51
$41.69
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.