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 $117.49 Median $117.49 Typical High $117.49 | Facility | None | $117.49 | $117.49 | $117.49 |
Aetna Setting Professional Modifier None Typical Low $117.49 Median $117.49 Typical High $151.36 | Professional | None | $117.49 | $117.49 | $151.36 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $112.20 | Professional | UE · Used equipment | $89.13 | $89.13 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $218.78 Median $239.88 Typical High $239.88 | Facility | None | $218.78 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier None Typical Low $165.96 Median $204.17 Typical High $239.88 | Professional | None | $165.96 | $204.17 | $239.88 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $23.99 Median $24.55 Typical High $24.55 | Professional | RR · Rental | $23.99 | $24.55 | $24.55 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $181.97 Median $181.97 Typical High $181.97 | Professional | UE · Used equipment | $181.97 | $181.97 | $181.97 |
Cigna Setting Facility Modifier None Typical Low $123.03 Median $123.03 Typical High $123.03 | Facility | None | $123.03 | $123.03 | $123.03 |
Cigna Setting Professional Modifier None Typical Low $104.71 Median $123.03 Typical High $131.83 | Professional | None | $104.71 | $123.03 | $131.83 |
Medcost Setting Professional Modifier None Typical Low $186.21 Median $186.21 Typical High $186.21 | Professional | None | $186.21 | $186.21 | $186.21 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $134.90 Typical High $331.13 | Facility | None | $107.15 | $134.90 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $204.17 Median $204.17 Typical High $263.03 | Professional | None | $204.17 | $204.17 | $263.03 |
Molina Setting Professional Modifier None Typical Low $9.77 Median $77.62 Typical High $131.83 | Professional | None | $9.77 | $77.62 | $131.83 |
United Setting Professional Modifier None Typical Low $77.62 Median $107.15 Typical High $177.83 | Professional | None | $77.62 | $107.15 | $177.83 |
United Setting Professional Modifier RR · Rental Typical Low $7.76 Median $10.96 Typical High $17.78 | Professional | RR · Rental | $7.76 | $10.96 | $17.78 |
United Setting Professional Modifier UE · Used equipment Typical Low $57.54 Median $81.28 Typical High $131.83 | Professional | UE · Used equipment | $57.54 | $81.28 | $131.83 |
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 $257.04 Median $263.03 Typical High $263.03 | Professional | KE · Bid item, non-bid base | $257.04 | $263.03 | $263.03 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | KU · Bidding program group 3 | $275.42 | $275.42 | $275.42 |
Where South Carolina sits
The same service costs 3.1 times more in Kansas 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· 4th of 51
$204
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.