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 $75.86 Median $75.86 Typical High $75.86 | Facility | None | $75.86 | $75.86 | $75.86 |
Aetna Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $95.50 | Professional | None | $75.86 | $75.86 | $95.50 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $70.79 | Professional | UE · Used equipment | $56.23 | $56.23 | $70.79 |
BCBS South Carolina Setting Facility Modifier None Typical Low $141.25 Median $154.88 Typical High $154.88 | Facility | None | $141.25 | $154.88 | $154.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $154.88 | Professional | None | $97.72 | $104.71 | $154.88 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $15.49 Median $15.49 Typical High $15.49 | Professional | RR · Rental | $15.49 | $15.49 | $15.49 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $114.82 Median $117.49 Typical High $117.49 | Professional | UE · Used equipment | $114.82 | $117.49 | $117.49 |
Cigna Setting Facility Modifier None Typical Low $89.13 Median $89.13 Typical High $89.13 | Facility | None | $89.13 | $89.13 | $89.13 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $89.13 Typical High $95.50 | Professional | None | $74.13 | $89.13 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medcost Setting Facility Modifier None Typical Low $69.18 Median $91.20 Typical High $194.98 | Facility | None | $69.18 | $91.20 | $194.98 |
Medcost Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $131.83 | Professional | None | $117.49 | $117.49 | $131.83 |
United Setting Professional Modifier None Typical Low $50.12 Median $67.61 Typical High $109.65 | Professional | None | $50.12 | $67.61 | $109.65 |
United Setting Professional Modifier RR · Rental Typical Low $5.01 Median $6.76 Typical High $10.96 | Professional | RR · Rental | $5.01 | $6.76 | $10.96 |
United Setting Professional Modifier UE · Used equipment Typical Low $38.02 Median $50.12 Typical High $83.18 | Professional | UE · Used equipment | $38.02 | $50.12 | $83.18 |
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 $165.96 Median $165.96 Typical High $165.96 | Professional | KE · Bid item, non-bid base | $165.96 | $165.96 | $165.96 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $162.18 Median $162.18 Typical High $162.18 | Professional | KU · Bidding program group 3 | $162.18 | $162.18 | $162.18 |
Where South Carolina sits
The same service costs 3.4 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· 26th of 51
$105
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.