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 $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Aetna Setting Professional Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $5,370.32 | Professional | None | $4,265.80 | $4,265.80 | $5,370.32 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $3,235.94 Median $3,235.94 Typical High $4,073.80 | Professional | UE · Used equipment | $3,235.94 | $3,235.94 | $4,073.80 |
BCBS South Carolina Setting Facility Modifier KE · Bid item, non-bid base + RR · Rental Typical Low $776.25 Median $851.14 Typical High $851.14 | Facility | KE · Bid item, non-bid base + RR · Rental | $776.25 | $851.14 | $851.14 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4,677.35 Median $4,677.35 Typical High $5,248.07 | Professional | None | $4,677.35 | $4,677.35 | $5,248.07 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $3,981.07 Median $3,981.07 Typical High $3,981.07 | Professional | UE · Used equipment | $3,981.07 | $3,981.07 | $3,981.07 |
Cigna Setting Facility Modifier None Typical Low $4,786.30 Median $4,786.30 Typical High $4,786.30 | Facility | None | $4,786.30 | $4,786.30 | $4,786.30 |
Cigna Setting Professional Modifier None Typical Low $4,073.80 Median $4,786.30 Typical High $4,786.30 | Professional | None | $4,073.80 | $4,786.30 | $4,786.30 |
Medcost Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | None | $4,570.88 | $4,570.88 | $4,570.88 |
Medcost Setting Facility Modifier None Typical Low $4,168.69 Median $4,677.35 Typical High $7,943.28 | Facility | None | $4,168.69 | $4,677.35 | $7,943.28 |
Medcost Setting Professional Modifier None Typical Low $5,754.40 Median $5,754.40 Typical High $6,456.54 | Professional | None | $5,754.40 | $5,754.40 | $6,456.54 |
United Setting Professional Modifier None Typical Low $2,570.40 Median $3,801.89 Typical High $5,370.32 | Professional | None | $2,570.40 | $3,801.89 | $5,370.32 |
United Setting Professional Modifier UE · Used equipment Typical Low $1,949.84 Median $2,884.03 Typical High $4,073.80 | Professional | UE · Used equipment | $1,949.84 | $2,884.03 | $4,073.80 |
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 |
|---|---|---|---|---|---|
United Setting Professional Modifier RR · Rental Typical Low $257.04 Median $380.19 Typical High $537.03 | Professional | RR · Rental | $257.04 | $380.19 | $537.03 |
Where South Carolina sits
The same service costs 9.3 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· 37th of 51
$4,677
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.