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 $2,818.38 Median $2,818.38 Typical High $2,818.38 | Facility | None | $2,818.38 | $2,818.38 | $2,818.38 |
Aetna Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $3,162.28 | Professional | None | $2,818.38 | $2,818.38 | $3,162.28 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $467.74 Median $512.86 Typical High $512.86 | Facility | RR · Rental | $467.74 | $512.86 | $512.86 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $512.86 Median $512.86 Typical High $512.86 | Professional | RR · Rental | $512.86 | $512.86 | $512.86 |
Cigna Setting Professional Modifier None Typical Low $2,398.83 Median $2,398.83 Typical High $2,398.83 | Professional | None | $2,398.83 | $2,398.83 | $2,398.83 |
Cigna Setting Professional Modifier RR · Rental Typical Low $223.87 Median $223.87 Typical High $223.87 | Professional | RR · Rental | $223.87 | $223.87 | $223.87 |
Medcost Setting Professional Modifier RR · Rental Typical Low $251.19 Median $251.19 Typical High $346.74 | Professional | RR · Rental | $251.19 | $251.19 | $346.74 |
Medcost Setting Facility Modifier None Typical Low $512.86 Median $2,818.38 Typical High $3,715.35 | Facility | None | $512.86 | $2,818.38 | $3,715.35 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $501.19 Typical High $501.19 | Professional | None | $141.25 | $501.19 | $501.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $50.12 Median $380.19 Typical High $776.25 | Professional | RR · Rental | $50.12 | $380.19 | $776.25 |
United Setting Professional Modifier None Typical Low $190.55 Median $251.19 Typical High $2,137.96 | Professional | None | $190.55 | $251.19 | $2,137.96 |
United Setting Professional Modifier RR · Rental Typical Low $158.49 Median $234.42 Typical High $309.03 | Professional | RR · Rental | $158.49 | $234.42 | $309.03 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,089.30 Median $2,089.30 Typical High $2,344.23 | Professional | UE · Used equipment | $2,089.30 | $2,089.30 | $2,344.23 |
Where South Carolina sits
The same service costs 17.0 times more in North Dakota than in Oklahoma. 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· 39th of 51
$2,344
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.