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 $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Aetna Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $102.33 | Professional | None | $74.13 | $74.13 | $102.33 |
BCBS South Carolina Setting Facility Modifier None Typical Low $123.03 Median $134.90 Typical High $134.90 | Facility | None | $123.03 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $83.18 Median $85.11 Typical High $134.90 | Professional | None | $83.18 | $85.11 | $134.90 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.80 | $13.80 | $13.80 |
Cigna Setting Facility Modifier None Typical Low $95.50 Median $95.50 Typical High $95.50 | Facility | None | $95.50 | $95.50 | $95.50 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $95.50 Typical High $95.50 | Professional | None | $81.28 | $95.50 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $89.13 Typical High $165.96 | Facility | None | $70.79 | $89.13 | $165.96 |
Medcost Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $112.20 | Professional | None | $100.00 | $100.00 | $112.20 |
Molina Setting Professional Modifier None Typical Low $6.46 Median $48.98 Typical High $89.13 | Professional | None | $6.46 | $48.98 | $89.13 |
United Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $85.11 | Professional | None | $44.67 | $63.10 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $4.57 Median $6.31 Typical High $8.51 | Professional | RR · Rental | $4.57 | $6.31 | $8.51 |
3 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $56.23 Median $56.23 Typical High $77.62 | Professional | UE · Used equipment | $56.23 | $56.23 | $77.62 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KU · Bidding program group 3 | $134.90 | $134.90 | $134.90 |
United Setting Professional Modifier UE · Used equipment Typical Low $33.88 Median $47.86 Typical High $63.10 | Professional | UE · Used equipment | $33.88 | $47.86 | $63.10 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Utah. 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· 45th of 51
$85.11
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.