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 $30.20 Median $30.20 Typical High $30.20 | Facility | None | $30.20 | $30.20 | $30.20 |
Aetna Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $38.02 | Professional | None | $30.20 | $30.20 | $38.02 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $22.39 Median $22.39 Typical High $28.84 | Professional | UE · Used equipment | $22.39 | $22.39 | $28.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $52.48 Median $57.54 Typical High $57.54 | Facility | None | $52.48 | $57.54 | $57.54 |
BCBS South Carolina Setting Professional Modifier None Typical Low $57.54 Median $57.54 Typical High $57.54 | Professional | None | $57.54 | $57.54 | $57.54 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $5.75 Median $5.75 Typical High $5.75 | Professional | RR · Rental | $5.75 | $5.75 | $5.75 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $42.66 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $42.66 | $43.65 | $43.65 |
Cigna Setting Facility Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Facility | None | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $38.02 | Professional | None | $29.51 | $35.48 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | None | $34.67 | $34.67 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $28.18 Median $36.31 Typical High $74.13 | Facility | None | $28.18 | $36.31 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $48.98 Median $52.48 Typical High $52.48 | Professional | None | $48.98 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $2.14 Median $19.50 Typical High $34.67 | Professional | None | $2.14 | $19.50 | $34.67 |
United Setting Professional Modifier None Typical Low $19.95 Median $26.92 Typical High $39.81 | Professional | None | $19.95 | $26.92 | $39.81 |
United Setting Professional Modifier RR · Rental Typical Low $2.00 Median $2.69 Typical High $3.98 | Professional | RR · Rental | $2.00 | $2.69 | $3.98 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.79 Median $20.42 Typical High $30.20 | Professional | UE · Used equipment | $14.79 | $20.42 | $30.20 |
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KE · Bid item, non-bid base | $61.66 | $61.66 | $61.66 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $60.26 Median $60.26 Typical High $60.26 | Professional | KU · Bidding program group 3 | $60.26 | $60.26 | $60.26 |
Where South Carolina sits
The same service costs 2.5 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· 4th of 51
$52.48
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.