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 $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $363.08 | Professional | None | $208.93 | $288.40 | $363.08 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $154.88 Median $213.80 Typical High $213.80 | Professional | UE · Used equipment | $154.88 | $213.80 | $213.80 |
BCBS South Carolina Setting Facility Modifier None Typical Low $524.81 Median $588.84 Typical High $588.84 | Facility | None | $524.81 | $588.84 | $588.84 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $416.87 Typical High $588.84 | Professional | None | $398.11 | $416.87 | $588.84 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $41.69 Median $41.69 Typical High $58.88 | Professional | RR · Rental | $41.69 | $41.69 | $58.88 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | UE · Used equipment | $436.52 | $436.52 | $436.52 |
Cigna Setting Facility Modifier None Typical Low $309.03 Median $309.03 Typical High $416.87 | Facility | None | $309.03 | $309.03 | $416.87 |
Cigna Setting Professional Modifier None Typical Low $263.03 Median $309.03 Typical High $446.68 | Professional | None | $263.03 | $309.03 | $446.68 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | None | $380.19 | $380.19 | $380.19 |
Medcost Setting Facility Modifier None Typical Low $257.04 Median $323.59 Typical High $794.33 | Facility | None | $257.04 | $323.59 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $426.58 Typical High $467.74 | Professional | None | $416.87 | $426.58 | $467.74 |
Molina Setting Professional Modifier None Typical Low $31.62 Median $239.88 Typical High $316.23 | Professional | None | $31.62 | $239.88 | $316.23 |
United Setting Professional Modifier None Typical Low $186.21 Median $257.04 Typical High $389.05 | Professional | None | $186.21 | $257.04 | $389.05 |
United Setting Professional Modifier RR · Rental Typical Low $18.62 Median $25.70 Typical High $39.81 | Professional | RR · Rental | $18.62 | $25.70 | $39.81 |
United Setting Professional Modifier UE · Used equipment Typical Low $141.25 Median $194.98 Typical High $288.40 | Professional | UE · Used equipment | $141.25 | $194.98 | $288.40 |
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 Professional Modifier KU · Bidding program group 3 Typical Low $660.69 Median $660.69 Typical High $660.69 | Professional | KU · Bidding program group 3 | $660.69 | $660.69 | $660.69 |
Where South Carolina sits
The same service costs 18.2 times more in Hawaii than in Illinois. 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· 14th of 51
$417
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.