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 $100.00 Median $100.00 Typical High $100.00 | Facility | None | $100.00 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $125.89 | Professional | None | $100.00 | $100.00 | $125.89 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $74.13 Median $74.13 Typical High $93.33 | Professional | UE · Used equipment | $74.13 | $74.13 | $93.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $181.97 Median $204.17 Typical High $204.17 | Facility | None | $181.97 | $204.17 | $204.17 |
BCBS South Carolina Setting Professional Modifier None Typical Low $114.82 Median $138.04 Typical High $204.17 | Professional | None | $114.82 | $138.04 | $204.17 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $19.95 Median $20.42 Typical High $20.42 | Professional | RR · Rental | $19.95 | $20.42 | $20.42 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $151.36 Median $151.36 Typical High $151.36 | Professional | UE · Used equipment | $151.36 | $151.36 | $151.36 |
Cigna Setting Facility Modifier None Typical Low $114.82 Median $114.82 Typical High $144.54 | Facility | None | $114.82 | $114.82 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $114.82 Typical High $144.54 | Professional | None | $97.72 | $114.82 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $91.20 Median $114.82 Typical High $263.03 | Facility | None | $91.20 | $114.82 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $165.96 | Professional | None | $162.18 | $162.18 | $165.96 |
Molina Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None | $112.20 | $112.20 | $112.20 |
United Setting Professional Modifier None Typical Low $61.66 Median $89.13 Typical High $128.82 | Professional | None | $61.66 | $89.13 | $128.82 |
United Setting Professional Modifier RR · Rental Typical Low $6.17 Median $8.91 Typical High $12.88 | Professional | RR · Rental | $6.17 | $8.91 | $12.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $66.07 Typical High $97.72 | Professional | UE · Used equipment | $46.77 | $66.07 | $97.72 |
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 $218.78 Median $218.78 Typical High $218.78 | Professional | KU · Bidding program group 3 | $218.78 | $218.78 | $218.78 |
Where South Carolina sits
The same service costs 2.6 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· 37th of 51
$115
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.