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 $478.63 Median $478.63 Typical High $478.63 | Facility | None | $478.63 | $478.63 | $478.63 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $478.63 Typical High $891.25 | Professional | None | $478.63 | $478.63 | $891.25 |
BCBS South Carolina Setting Facility Modifier KE · Bid item, non-bid base + RR · Rental Typical Low $95.50 Median $104.71 Typical High $104.71 | Facility | KE · Bid item, non-bid base + RR · Rental | $95.50 | $104.71 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $645.65 Median $691.83 Typical High $691.83 | Professional | None | $645.65 | $691.83 | $691.83 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $97.72 Median $97.72 Typical High $97.72 | Professional | RR · Rental | $97.72 | $97.72 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Facility | None | $407.38 | $407.38 | $407.38 |
Cigna Setting Professional Modifier None Typical Low $346.74 Median $407.38 Typical High $436.52 | Professional | None | $346.74 | $407.38 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $602.56 | Professional | None | $602.56 | $602.56 | $602.56 |
Medcost Setting Facility Modifier None Typical Low $104.71 Median $478.63 Typical High $776.25 | Facility | None | $104.71 | $478.63 | $776.25 |
Medcost Setting Professional Modifier None Typical Low $851.14 Median $891.25 Typical High $891.25 | Professional | None | $851.14 | $891.25 | $891.25 |
Molina Setting Professional Modifier None Typical Low $37.15 Median $281.84 Typical High $501.19 | Professional | None | $37.15 | $281.84 | $501.19 |
United Setting Professional Modifier None Typical Low $223.87 Median $363.08 Typical High $691.83 | Professional | None | $223.87 | $363.08 | $691.83 |
United Setting Professional Modifier RR · Rental Typical Low $31.62 Median $42.66 Typical High $70.79 | Professional | RR · Rental | $31.62 | $42.66 | $70.79 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $354.81 Median $354.81 Typical High $457.09 | Professional | UE · Used equipment | $354.81 | $354.81 | $457.09 |
United Setting Professional Modifier UE · Used equipment Typical Low $169.82 Median $269.15 Typical High $512.86 | Professional | UE · Used equipment | $169.82 | $269.15 | $512.86 |
Where South Carolina sits
The same service costs 3.0 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· 12th of 51
$676
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.