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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $40.74 Median $57.54 Typical High $74.13 | Professional | None | $40.74 | $57.54 | $74.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $30.90 | $43.65 | $43.65 |
Ambetter Setting Professional Modifier None Typical Low $81.28 Median $81.28 Typical High $81.28 | Professional | None | $81.28 | $81.28 | $81.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $109.65 Median $123.03 Typical High $123.03 | Facility | None | $109.65 | $123.03 | $123.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $79.43 Median $97.72 Typical High $123.03 | Professional | None | $79.43 | $97.72 | $123.03 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $7.94 Median $9.77 Typical High $12.30 | Professional | RR · Rental | $7.94 | $9.77 | $12.30 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | UE · Used equipment | $91.20 | $91.20 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $87.10 | Professional | None | $56.23 | $66.07 | $87.10 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $75.86 Typical High $75.86 | Professional | None | $75.86 | $75.86 | $75.86 |
Medcost Setting Facility Modifier None Typical Low $52.48 Median $69.18 Typical High $158.49 | Facility | None | $52.48 | $69.18 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $112.20 Typical High $112.20 | Professional | None | $107.15 | $112.20 | $112.20 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $47.86 Typical High $64.57 | Professional | None | $6.46 | $47.86 | $64.57 |
United Setting Professional Modifier None Typical Low $38.02 Median $53.70 Typical High $87.10 | Professional | None | $38.02 | $53.70 | $87.10 |
United Setting Professional Modifier RR · Rental Typical Low $3.80 Median $5.37 Typical High $8.71 | Professional | RR · Rental | $3.80 | $5.37 | $8.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $40.74 Typical High $64.57 | Professional | UE · Used equipment | $28.84 | $40.74 | $64.57 |
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 $128.82 Median $131.83 Typical High $131.83 | Professional | KE · Bid item, non-bid base | $128.82 | $131.83 | $131.83 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $131.83 Median $131.83 Typical High $131.83 | Professional | KU · Bidding program group 3 | $131.83 | $131.83 | $131.83 |
Where South Carolina sits
The same service costs 2.6 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· 8th of 51
$97.72
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.