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 $2,511.89 Median $2,511.89 Typical High $2,511.89 | Facility | None | $2,511.89 | $2,511.89 | $2,511.89 |
Aetna Setting Professional Modifier None Typical Low $2,511.89 Median $2,511.89 Typical High $3,162.28 | Professional | None | $2,511.89 | $2,511.89 | $3,162.28 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,905.46 Median $1,905.46 Typical High $2,398.83 | Professional | UE · Used equipment | $1,905.46 | $1,905.46 | $2,398.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,019.95 Median $3,981.07 Typical High $3,981.07 | Professional | None | $3,019.95 | $3,981.07 | $3,981.07 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $302.00 Median $398.11 Typical High $478.63 | Professional | RR · Rental | $302.00 | $398.11 | $478.63 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $2,511.89 Median $2,511.89 Typical High $2,511.89 | Professional | UE · Used equipment | $2,511.89 | $2,511.89 | $2,511.89 |
Cigna Setting Facility Modifier None Typical Low $2,187.76 Median $2,187.76 Typical High $2,238.72 | Facility | None | $2,187.76 | $2,187.76 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $1,862.09 Median $2,187.76 Typical High $2,344.23 | Professional | None | $1,862.09 | $2,187.76 | $2,344.23 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $2,818.38 | Professional | None | $2,818.38 | $2,818.38 | $2,818.38 |
Medcost Setting Facility Modifier None Typical Low $2,398.83 Median $2,754.23 Typical High $4,677.35 | Facility | None | $2,398.83 | $2,754.23 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $4,073.80 | Professional | None | $3,715.35 | $3,715.35 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $223.87 Median $1,412.54 Typical High $2,511.89 | Professional | None | $223.87 | $1,412.54 | $2,511.89 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,238.72 Typical High $3,388.44 | Professional | None | $1,621.81 | $2,238.72 | $3,388.44 |
United Setting Professional Modifier RR · Rental Typical Low $162.18 Median $223.87 Typical High $338.84 | Professional | RR · Rental | $162.18 | $223.87 | $338.84 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,230.27 Median $1,698.24 Typical High $2,511.89 | Professional | UE · Used equipment | $1,230.27 | $1,698.24 | $2,511.89 |
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 Facility Modifier KE · Bid item, non-bid base + RR · Rental Typical Low $467.74 Median $512.86 Typical High $512.86 | Facility | KE · Bid item, non-bid base + RR · Rental | $467.74 | $512.86 | $512.86 |
Where South Carolina sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 19th of 51
$3,388
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.