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 $229.09 Median $229.09 Typical High $229.09 | Facility | None | $229.09 | $229.09 | $229.09 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $229.09 Typical High $288.40 | Professional | None | $141.25 | $229.09 | $288.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $107.15 Median $169.82 Typical High $169.82 | Professional | UE · Used equipment | $107.15 | $169.82 | $169.82 |
Ambetter Setting Professional Modifier None Typical Low $309.03 Median $309.03 Typical High $309.03 | Professional | None | $309.03 | $309.03 | $309.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $426.58 Median $467.74 Typical High $467.74 | Facility | None | $426.58 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $323.59 Median $338.84 Typical High $467.74 | Professional | None | $323.59 | $338.84 | $467.74 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $32.36 Median $33.88 Typical High $46.77 | Professional | RR · Rental | $32.36 | $33.88 | $46.77 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $354.81 Typical High $354.81 | Professional | UE · Used equipment | $346.74 | $354.81 | $354.81 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $323.59 | Professional | None | $208.93 | $245.47 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $263.03 | Professional | None | $263.03 | $263.03 | $263.03 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $645.65 | Facility | None | $204.17 | $257.04 | $645.65 |
Medcost Setting Professional Modifier None Typical Low $338.84 Median $338.84 Typical High $371.54 | Professional | None | $338.84 | $338.84 | $371.54 |
Molina Setting Professional Modifier None Typical Low $25.12 Median $190.55 Typical High $251.19 | Professional | None | $25.12 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $309.03 | Professional | None | $147.91 | $204.17 | $309.03 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $20.42 Typical High $30.90 | Professional | RR · Rental | $14.79 | $20.42 | $30.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $112.20 Median $154.88 Typical High $234.42 | Professional | UE · Used equipment | $112.20 | $154.88 | $234.42 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | KU · Bidding program group 3 | $537.03 | $537.03 | $537.03 |
Where South Carolina sits
The same service costs 2.7 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· 12th of 51
$339
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.