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 $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Aetna Setting Professional Modifier None Typical Low $26.30 Median $26.30 Typical High $33.88 | Professional | None | $26.30 | $26.30 | $33.88 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $19.95 Median $19.95 Typical High $25.12 | Professional | UE · Used equipment | $19.95 | $19.95 | $25.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $48.98 Median $54.95 Typical High $54.95 | Facility | None | $48.98 | $54.95 | $54.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $35.48 Median $37.15 Typical High $54.95 | Professional | None | $35.48 | $37.15 | $54.95 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $5.37 Median $5.50 Typical High $5.50 | Professional | RR · Rental | $5.37 | $5.50 | $5.50 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $40.74 Median $40.74 Typical High $40.74 | Professional | UE · Used equipment | $40.74 | $40.74 | $40.74 |
Cigna Setting Facility Modifier None Typical Low $30.20 Median $30.20 Typical High $39.81 | Facility | None | $30.20 | $30.20 | $39.81 |
Cigna Setting Professional Modifier None Typical Low $25.70 Median $30.20 Typical High $39.81 | Professional | None | $25.70 | $30.20 | $39.81 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $28.18 | Professional | None | $28.18 | $28.18 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $24.55 Median $31.62 Typical High $70.79 | Facility | None | $24.55 | $31.62 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $40.74 Median $42.66 Typical High $42.66 | Professional | None | $40.74 | $42.66 | $42.66 |
Molina Setting Professional Modifier None Typical Low $3.02 Median $22.39 Typical High $30.20 | Professional | None | $3.02 | $22.39 | $30.20 |
United Setting Professional Modifier None Typical Low $16.22 Median $23.99 Typical High $33.88 | Professional | None | $16.22 | $23.99 | $33.88 |
United Setting Professional Modifier RR · Rental Typical Low $1.62 Median $2.40 Typical High $3.39 | Professional | RR · Rental | $1.62 | $2.40 | $3.39 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.30 Median $17.78 Typical High $25.70 | Professional | UE · Used equipment | $12.30 | $17.78 | $25.70 |
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 $57.54 Median $57.54 Typical High $57.54 | Professional | KU · Bidding program group 3 | $57.54 | $57.54 | $57.54 |
Where South Carolina sits
The same service costs 2.7 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· 16th of 51
$37.15
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.