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 $32.36 Median $32.36 Typical High $32.36 | Facility | None | $32.36 | $32.36 | $32.36 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $32.36 Typical High $40.74 | Professional | None | $32.36 | $32.36 | $40.74 |
Aetna Setting Professional Modifier RR · Rental Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | RR · Rental | $3.24 | $3.24 | $3.24 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $23.99 Median $23.99 Typical High $30.20 | Professional | UE · Used equipment | $23.99 | $23.99 | $30.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $54.95 Median $60.26 Typical High $60.26 | Facility | None | $54.95 | $60.26 | $60.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $60.26 | Professional | None | $34.67 | $41.69 | $60.26 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $6.03 Median $6.03 Typical High $6.03 | Professional | RR · Rental | $6.03 | $6.03 | $6.03 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $45.71 Typical High $45.71 | Professional | UE · Used equipment | $44.67 | $45.71 | $45.71 |
Cigna Setting Facility Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Facility | None | $38.02 | $38.02 | $38.02 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $38.02 Typical High $40.74 | Professional | None | $32.36 | $38.02 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None | $35.48 | $35.48 | $35.48 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $38.90 Typical High $74.13 | Facility | None | $30.90 | $38.90 | $74.13 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $52.48 Typical High $52.48 | Professional | None | $50.12 | $52.48 | $52.48 |
Molina Setting Professional Modifier None Typical Low $2.19 Median $21.38 Typical High $38.02 | Professional | None | $2.19 | $21.38 | $38.02 |
United Setting Professional Modifier None Typical Low $20.42 Median $28.84 Typical High $42.66 | Professional | None | $20.42 | $28.84 | $42.66 |
United Setting Professional Modifier RR · Rental Typical Low $2.04 Median $2.88 Typical High $4.27 | Professional | RR · Rental | $2.04 | $2.88 | $4.27 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $21.38 Typical High $31.62 | Professional | UE · Used equipment | $15.14 | $21.38 | $31.62 |
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 MS · Maintenance fee Typical Low $3.24 Median $3.24 Typical High $3.24 | Professional | MS · Maintenance fee | $3.24 | $3.24 | $3.24 |
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KE · Bid item, non-bid base | $64.57 | $64.57 | $64.57 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | KU · Bidding program group 3 | $61.66 | $61.66 | $61.66 |
Where South Carolina sits
The same service costs 2.2 times more in Hawaii than in Illinois. 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· 39th of 51
$38.02
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.