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 $31.62 Median $31.62 Typical High $31.62 | Facility | None | $31.62 | $31.62 | $31.62 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $37.15 | Professional | None | $31.62 | $31.62 | $37.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.44 Median $23.44 Typical High $27.54 | Professional | UE · Used equipment | $23.44 | $23.44 | $27.54 |
BCBS South Carolina Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $60.26 | Facility | None | $54.95 | $60.26 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $38.90 Median $45.71 Typical High $60.26 | Professional | None | $38.90 | $45.71 | $60.26 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $44.67 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Cigna Setting Professional Modifier None Typical Low $30.90 Median $36.31 Typical High $38.90 | Professional | None | $30.90 | $36.31 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $32.36 | Professional | None | $32.36 | $32.36 | $32.36 |
Medcost Setting Facility Modifier None Typical Low $30.20 Median $37.15 Typical High $75.86 | Facility | None | $30.20 | $37.15 | $75.86 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $43.65 | Professional | None | $38.90 | $38.90 | $43.65 |
Molina Setting Professional Modifier None Typical Low $3.72 Median $27.54 Typical High $37.15 | Professional | None | $3.72 | $27.54 | $37.15 |
United Setting Professional Modifier None Typical Low $20.42 Median $27.54 Typical High $40.74 | Professional | None | $20.42 | $27.54 | $40.74 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.69 Typical High $4.07 | Professional | RR · Rental | $2.04 | $2.69 | $4.07 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.49 Median $20.42 Typical High $30.20 | Professional | UE · Used equipment | $15.49 | $20.42 | $30.20 |
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 $64.57 Median $64.57 Typical High $64.57 | Professional | KE · Bid item, non-bid base | $64.57 | $64.57 | $64.57 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | KU · Bidding program group 3 | $63.10 | $63.10 | $63.10 |
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
$45.71
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.