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 $36.31 Median $36.31 Typical High $36.31 | Facility | None | $36.31 | $36.31 | $36.31 |
Aetna Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $46.77 | Professional | None | $36.31 | $36.31 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $34.67 | Professional | UE · Used equipment | $27.54 | $27.54 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $67.61 Median $74.13 Typical High $74.13 | Facility | None | $67.61 | $74.13 | $74.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $34.67 Median $41.69 Typical High $74.13 | Professional | None | $34.67 | $41.69 | $74.13 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | RR · Rental | $7.41 | $7.41 | $7.41 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $54.95 Median $56.23 Typical High $56.23 | Professional | UE · Used equipment | $54.95 | $56.23 | $56.23 |
Cigna Setting Facility Modifier None Typical Low $42.66 Median $42.66 Typical High $42.66 | Facility | None | $42.66 | $42.66 | $42.66 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $42.66 Typical High $45.71 | Professional | None | $36.31 | $42.66 | $45.71 |
Medcost Setting Professional Modifier None Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | None | $46.77 | $46.77 | $46.77 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $41.69 Typical High $95.50 | Facility | None | $33.11 | $41.69 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $66.07 Median $69.18 Typical High $69.18 | Professional | None | $66.07 | $69.18 | $69.18 |
Molina Setting Professional Modifier None Typical Low $2.82 Median $22.91 Typical High $40.74 | Professional | None | $2.82 | $22.91 | $40.74 |
United Setting Professional Modifier None Typical Low $24.55 Median $33.11 Typical High $50.12 | Professional | None | $24.55 | $33.11 | $50.12 |
United Setting Professional Modifier RR · Rental Typical Low $2.45 Median $3.39 Typical High $5.13 | Professional | RR · Rental | $2.45 | $3.39 | $5.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $18.20 Median $24.55 Typical High $38.02 | Professional | UE · Used equipment | $18.20 | $24.55 | $38.02 |
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 $79.43 Median $79.43 Typical High $79.43 | Professional | KE · Bid item, non-bid base | $79.43 | $79.43 | $79.43 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | KU · Bidding program group 3 | $79.43 | $79.43 | $79.43 |
Where South Carolina sits
The same service costs 5.0 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· 41st of 51
$42.66
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.