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 $56.23 Median $56.23 Typical High $56.23 | Facility | None | $56.23 | $56.23 | $56.23 |
Aetna Setting Professional Modifier None Typical Low $44.67 Median $56.23 Typical High $70.79 | Professional | None | $44.67 | $56.23 | $70.79 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $35.48 Median $41.69 Typical High $41.69 | Professional | UE · Used equipment | $35.48 | $41.69 | $41.69 |
BCBS South Carolina Setting Facility Modifier None Typical Low $104.71 Median $117.49 Typical High $117.49 | Facility | None | $104.71 | $117.49 | $117.49 |
BCBS South Carolina Setting Professional Modifier None Typical Low $85.11 Median $102.33 Typical High $117.49 | Professional | None | $85.11 | $102.33 | $117.49 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $8.51 Median $10.23 Typical High $11.75 | Professional | RR · Rental | $8.51 | $10.23 | $11.75 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $87.10 | Professional | UE · Used equipment | $87.10 | $87.10 | $87.10 |
Cigna Setting Facility Modifier None Typical Low $57.54 Median $57.54 Typical High $77.62 | Facility | None | $57.54 | $57.54 | $77.62 |
Cigna Setting Professional Modifier None Typical Low $48.98 Median $57.54 Typical High $102.33 | Professional | None | $48.98 | $57.54 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $61.66 Typical High $169.82 | Facility | None | $48.98 | $61.66 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $109.65 | Professional | None | $100.00 | $100.00 | $109.65 |
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 $50.12 Typical High $89.13 | Professional | None | $35.48 | $50.12 | $89.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.55 Median $5.37 Typical High $8.91 | Professional | RR · Rental | $3.55 | $5.37 | $8.91 |
United Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $38.02 Typical High $67.61 | Professional | UE · Used equipment | $26.30 | $38.02 | $67.61 |
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 $125.89 Median $125.89 Typical High $125.89 | Professional | KE · Bid item, non-bid base | $125.89 | $125.89 | $125.89 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $138.04 Median $138.04 Typical High $138.04 | Professional | KU · Bidding program group 3 | $138.04 | $138.04 | $138.04 |
Where South Carolina sits
The same service costs 3.7 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· 3rd of 51
$102
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.