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 $851.14 Median $851.14 Typical High $851.14 | Facility | None | $851.14 | $851.14 | $851.14 |
Aetna Setting Professional Modifier None Typical Low $851.14 Median $851.14 Typical High $1,288.25 | Professional | None | $851.14 | $851.14 | $1,288.25 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $144.54 Median $158.49 Typical High $158.49 | Facility | RR · Rental | $144.54 | $158.49 | $158.49 |
BCBS South Carolina Setting Professional Modifier None Typical Low $794.33 Median $794.33 Typical High $851.14 | Professional | None | $794.33 | $794.33 | $851.14 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $158.49 Median $158.49 Typical High $158.49 | Professional | RR · Rental | $158.49 | $158.49 | $158.49 |
Cigna Setting Facility Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Facility | None | $645.65 | $645.65 | $645.65 |
Cigna Setting Professional Modifier None Typical Low $549.54 Median $645.65 Typical High $691.83 | Professional | None | $549.54 | $645.65 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $933.25 Median $933.25 Typical High $933.25 | Professional | None | $933.25 | $933.25 | $933.25 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $933.25 Typical High $1,548.82 | Facility | None | $812.83 | $933.25 | $1,548.82 |
Medcost Setting Professional Modifier None Typical Low $1,348.96 Median $1,412.54 Typical High $1,412.54 | Professional | None | $1,348.96 | $1,412.54 | $1,412.54 |
Molina Setting Professional Modifier None Typical Low $58.88 Median $436.52 Typical High $776.25 | Professional | None | $58.88 | $436.52 | $776.25 |
United Setting Professional Modifier None Typical Low $537.03 Median $758.58 Typical High $1,122.02 | Professional | None | $537.03 | $758.58 | $1,122.02 |
United Setting Professional Modifier RR · Rental Typical Low $53.70 Median $75.86 Typical High $112.20 | Professional | RR · Rental | $53.70 | $75.86 | $112.20 |
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 $630.96 Median $630.96 Typical High $794.33 | Professional | UE · Used equipment | $630.96 | $630.96 | $794.33 |
United Setting Professional Modifier UE · Used equipment Typical Low $407.38 Median $562.34 Typical High $831.76 | Professional | UE · Used equipment | $407.38 | $562.34 | $831.76 |
Where South Carolina sits
The same service costs 8.7 times more in North Dakota than in Mississippi. 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· 34th of 51
$794
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.