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 $147.91 Median $147.91 Typical High $147.91 | Facility | None | $147.91 | $147.91 | $147.91 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $147.91 Typical High $186.21 | Professional | None | $102.33 | $147.91 | $186.21 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $109.65 Typical High $109.65 | Professional | UE · Used equipment | $77.62 | $109.65 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $275.42 Median $309.03 Typical High $309.03 | Facility | None | $275.42 | $309.03 | $309.03 |
BCBS South Carolina Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $309.03 | Professional | None | $199.53 | $251.19 | $309.03 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $30.20 Median $30.90 Typical High $30.90 | Professional | RR · Rental | $30.20 | $30.90 | $30.90 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $229.09 Median $229.09 Typical High $229.09 | Professional | UE · Used equipment | $229.09 | $229.09 | $229.09 |
Cigna Setting Facility Modifier None Typical Low $165.96 Median $165.96 Typical High $218.78 | Facility | None | $165.96 | $165.96 | $218.78 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $218.78 | Professional | None | $141.25 | $165.96 | $218.78 |
Medcost Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $190.55 | Professional | None | $190.55 | $190.55 | $190.55 |
Medcost Setting Facility Modifier None Typical Low $134.90 Median $177.83 Typical High $398.11 | Facility | None | $134.90 | $177.83 | $398.11 |
Medcost Setting Professional Modifier None Typical Low $269.15 Median $338.84 Typical High $338.84 | Professional | None | $269.15 | $338.84 | $338.84 |
Molina Setting Professional Modifier None Typical Low $16.60 Median $125.89 Typical High $165.96 | Professional | None | $16.60 | $125.89 | $165.96 |
United Setting Professional Modifier None Typical Low $97.72 Median $134.90 Typical High $218.78 | Professional | None | $97.72 | $134.90 | $218.78 |
United Setting Professional Modifier RR · Rental Typical Low $9.77 Median $13.49 Typical High $21.88 | Professional | RR · Rental | $9.77 | $13.49 | $21.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $72.44 Median $102.33 Typical High $165.96 | Professional | UE · Used equipment | $72.44 | $102.33 | $165.96 |
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 $323.59 Median $331.13 Typical High $331.13 | Professional | KE · Bid item, non-bid base | $323.59 | $331.13 | $331.13 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | KU · Bidding program group 3 | $331.13 | $331.13 | $331.13 |
Where South Carolina sits
The same service costs 2.7 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· 8th of 51
$251
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.