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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None Typical Low $45.71 Median $45.71 Typical High $57.54 | Professional | None | $45.71 | $45.71 | $57.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $33.88 Typical High $42.66 | Professional | UE · Used equipment | $33.88 | $33.88 | $42.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $75.86 Median $85.11 Typical High $85.11 | Facility | None | $75.86 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $60.26 Typical High $85.11 | Professional | None | $50.12 | $60.26 | $85.11 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $8.32 Median $8.51 Typical High $8.51 | Professional | RR · Rental | $8.32 | $8.51 | $8.51 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $63.10 Median $63.10 Typical High $63.10 | Professional | UE · Used equipment | $63.10 | $63.10 | $63.10 |
Cigna Setting Facility Modifier None Typical Low $53.70 Median $53.70 Typical High $70.79 | Facility | None | $53.70 | $53.70 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $45.71 Median $53.70 Typical High $70.79 | Professional | None | $45.71 | $53.70 | $70.79 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $47.86 | Professional | None | $47.86 | $47.86 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $43.65 Median $54.95 Typical High $104.71 | Facility | None | $43.65 | $54.95 | $104.71 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $69.18 | Professional | None | $57.54 | $57.54 | $69.18 |
Molina Setting Professional Modifier None Typical Low $4.07 Median $32.36 Typical High $40.74 | Professional | None | $4.07 | $32.36 | $40.74 |
United Setting Professional Modifier None Typical Low $27.54 Median $40.74 Typical High $57.54 | Professional | None | $27.54 | $40.74 | $57.54 |
United Setting Professional Modifier RR · Rental Typical Low $2.75 Median $4.07 Typical High $5.75 | Professional | RR · Rental | $2.75 | $4.07 | $5.75 |
United Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $30.20 Typical High $43.65 | Professional | UE · Used equipment | $20.89 | $30.20 | $43.65 |
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 $91.20 Median $91.20 Typical High $91.20 | Professional | KE · Bid item, non-bid base | $91.20 | $91.20 | $91.20 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $85.11 Median $85.11 Typical High $85.11 | Professional | KU · Bidding program group 3 | $85.11 | $85.11 | $85.11 |
Where South Carolina sits
The same service costs 2.3 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· 36th of 51
$53.70
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.