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 $58.88 Median $58.88 Typical High $58.88 | Facility | None | $58.88 | $58.88 | $58.88 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $58.88 Typical High $74.13 | Professional | None | $45.71 | $58.88 | $74.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $33.88 | $44.67 | $44.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $112.20 Median $123.03 Typical High $123.03 | Facility | None | $112.20 | $123.03 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $89.13 Median $107.15 Typical High $123.03 | Professional | None | $89.13 | $107.15 | $123.03 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $8.91 Median $10.72 Typical High $12.30 | Professional | RR · Rental | $8.91 | $10.72 | $12.30 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $93.33 Typical High $93.33 | Professional | UE · Used equipment | $91.20 | $93.33 | $93.33 |
Cigna Setting Facility Modifier None Typical Low $60.26 Median $60.26 Typical High $81.28 | Facility | None | $60.26 | $60.26 | $81.28 |
Cigna Setting Professional Modifier None Typical Low $51.29 Median $60.26 Typical High $81.28 | Professional | None | $51.29 | $60.26 | $81.28 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Professional | None | $83.18 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $51.29 Median $66.07 Typical High $177.83 | Facility | None | $51.29 | $66.07 | $177.83 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $125.89 Typical High $125.89 | Professional | None | $112.20 | $125.89 | $125.89 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $47.86 Typical High $63.10 | Professional | None | $6.31 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $37.15 Median $53.70 Typical High $93.33 | Professional | None | $37.15 | $53.70 | $93.33 |
United Setting Professional Modifier RR · Rental Typical Low $3.72 Median $5.37 Typical High $9.33 | Professional | RR · Rental | $3.72 | $5.37 | $9.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.18 Median $39.81 Typical High $70.79 | Professional | UE · Used equipment | $28.18 | $39.81 | $70.79 |
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 $131.83 Median $134.90 Typical High $134.90 | Professional | KE · Bid item, non-bid base | $131.83 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | KU · Bidding program group 3 | $144.54 | $144.54 | $144.54 |
Where South Carolina sits
The same service costs 2.9 times more in Hawaii 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· 5th of 51
$107
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.