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 $11.75 Median $11.75 Typical High $11.75 | Facility | None | $11.75 | $11.75 | $11.75 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $15.14 | Professional | None | $11.75 | $11.75 | $15.14 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.91 Median $8.91 Typical High $11.22 | Professional | UE · Used equipment | $8.91 | $8.91 | $11.22 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.88 Median $24.55 Typical High $24.55 | Facility | None | $21.88 | $24.55 | $24.55 |
BCBS South Carolina Setting Professional Modifier None Typical Low $15.49 Median $15.85 Typical High $24.55 | Professional | None | $15.49 | $15.85 | $24.55 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $2.45 Median $2.45 Typical High $2.45 | Professional | RR · Rental | $2.45 | $2.45 | $2.45 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $18.20 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Facility | None | $13.80 | $13.80 | $13.80 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $13.80 Typical High $14.79 | Professional | None | $11.75 | $13.80 | $14.79 |
Medcost Setting Professional Modifier None Typical Low $14.45 Median $14.45 Typical High $14.45 | Professional | None | $14.45 | $14.45 | $14.45 |
Medcost Setting Facility Modifier None Typical Low $10.96 Median $14.13 Typical High $30.20 | Facility | None | $10.96 | $14.13 | $30.20 |
Medcost Setting Professional Modifier None Typical Low $20.42 Median $21.38 Typical High $21.38 | Professional | None | $20.42 | $21.38 | $21.38 |
Molina Setting Professional Modifier None Typical Low $0.89 Median $7.59 Typical High $13.49 | Professional | None | $0.89 | $7.59 | $13.49 |
United Setting Professional Modifier None Typical Low $7.94 Median $10.72 Typical High $17.38 | Professional | None | $7.94 | $10.72 | $17.38 |
United Setting Professional Modifier RR · Rental Typical Low $0.79 Median $1.07 Typical High $1.74 | Professional | RR · Rental | $0.79 | $1.07 | $1.74 |
United Setting Professional Modifier UE · Used equipment Typical Low $6.03 Median $7.94 Typical High $12.88 | Professional | UE · Used equipment | $6.03 | $7.94 | $12.88 |
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 $25.70 Median $26.30 Typical High $26.30 | Professional | KE · Bid item, non-bid base | $25.70 | $26.30 | $26.30 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | KU · Bidding program group 3 | $25.12 | $25.12 | $25.12 |
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· 28th of 51
$15.85
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.