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 $27.54 Median $27.54 Typical High $27.54 | Facility | None | $27.54 | $27.54 | $27.54 |
Aetna Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | None | $27.54 | $27.54 | $34.67 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $20.89 Median $20.89 Typical High $26.30 | Professional | UE · Used equipment | $20.89 | $20.89 | $26.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $46.77 Median $52.48 Typical High $52.48 | Facility | None | $46.77 | $52.48 | $52.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $52.48 | Professional | None | $30.20 | $36.31 | $52.48 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.25 Typical High $5.25 | Professional | RR · Rental | $5.13 | $5.25 | $5.25 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $38.90 Median $38.90 Typical High $38.90 | Professional | UE · Used equipment | $38.90 | $38.90 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Cigna Setting Professional Modifier None Typical Low $28.18 Median $33.11 Typical High $35.48 | Professional | None | $28.18 | $33.11 | $35.48 |
Medcost Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $33.11 Typical High $63.10 | Facility | None | $26.92 | $33.11 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $42.66 Median $44.67 Typical High $44.67 | Professional | None | $42.66 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $1.86 Median $18.62 Typical High $33.11 | Professional | None | $1.86 | $18.62 | $33.11 |
United Setting Professional Modifier None Typical Low $17.38 Median $24.55 Typical High $36.31 | Professional | None | $17.38 | $24.55 | $36.31 |
United Setting Professional Modifier RR · Rental Typical Low $1.74 Median $2.45 Typical High $3.63 | Professional | RR · Rental | $1.74 | $2.45 | $3.63 |
United Setting Professional Modifier UE · Used equipment Typical Low $12.88 Median $18.62 Typical High $26.92 | Professional | UE · Used equipment | $12.88 | $18.62 | $26.92 |
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 $54.95 Median $56.23 Typical High $56.23 | Professional | KE · Bid item, non-bid base | $54.95 | $56.23 | $56.23 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $52.48 Median $52.48 Typical High $52.48 | Professional | KU · Bidding program group 3 | $52.48 | $52.48 | $52.48 |
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· 36th of 51
$33.11
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.