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 $17.78 Median $17.78 Typical High $17.78 | Facility | None | $17.78 | $17.78 | $17.78 |
Aetna Setting Professional Modifier None Typical Low $17.78 Median $17.78 Typical High $22.39 | Professional | None | $17.78 | $17.78 | $22.39 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $13.49 Median $13.49 Typical High $16.98 | Professional | UE · Used equipment | $13.49 | $13.49 | $16.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.20 Median $33.11 Typical High $33.11 | Facility | None | $30.20 | $33.11 | $33.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $23.99 Typical High $33.11 | Professional | None | $19.95 | $23.99 | $33.11 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $3.31 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.31 | $3.39 | $3.39 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | UE · Used equipment | $24.55 | $25.12 | $25.12 |
Cigna Setting Facility Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Cigna Setting Professional Modifier None Typical Low $17.78 Median $21.38 Typical High $22.91 | Professional | None | $17.78 | $21.38 | $22.91 |
Medcost Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $19.05 | Professional | None | $19.05 | $19.05 | $19.05 |
Medcost Setting Facility Modifier None Typical Low $17.38 Median $21.38 Typical High $40.74 | Facility | None | $17.38 | $21.38 | $40.74 |
Medcost Setting Professional Modifier None Typical Low $27.54 Median $28.84 Typical High $28.84 | Professional | None | $27.54 | $28.84 | $28.84 |
Molina Setting Professional Modifier None Typical Low $1.20 Median $12.02 Typical High $21.38 | Professional | None | $1.20 | $12.02 | $21.38 |
United Setting Professional Modifier None Typical Low $10.96 Median $15.85 Typical High $22.91 | Professional | None | $10.96 | $15.85 | $22.91 |
United Setting Professional Modifier RR · Rental Typical Low $1.10 Median $1.58 Typical High $2.29 | Professional | RR · Rental | $1.10 | $1.58 | $2.29 |
United Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $12.02 Typical High $17.38 | Professional | UE · Used equipment | $8.32 | $12.02 | $17.38 |
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 $35.48 Median $35.48 Typical High $35.48 | Professional | KE · Bid item, non-bid base | $35.48 | $35.48 | $35.48 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $33.88 Median $33.88 Typical High $33.88 | Professional | KU · Bidding program group 3 | $33.88 | $33.88 | $33.88 |
Where South Carolina sits
The same service costs 2.3 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· 35th of 51
$21.38
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.