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 $131.83 Median $131.83 Typical High $131.83 | Facility | None | $131.83 | $131.83 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $120.23 Median $131.83 Typical High $169.82 | Professional | None | $120.23 | $131.83 | $169.82 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $89.13 | $100.00 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $194.98 Median $194.98 Typical High $199.53 | Professional | None | $194.98 | $194.98 | $199.53 |
BCBS South Carolina Setting Facility Modifier None Typical Low $269.15 Median $295.12 Typical High $295.12 | Facility | None | $269.15 | $295.12 | $295.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $234.42 Median $251.19 Typical High $295.12 | Professional | None | $234.42 | $251.19 | $295.12 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | RR · Rental | $29.51 | $29.51 | $29.51 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $218.78 Median $223.87 Typical High $223.87 | Professional | UE · Used equipment | $218.78 | $223.87 | $223.87 |
Cigna Setting Facility Modifier None Typical Low $125.89 Median $125.89 Typical High $169.82 | Facility | None | $125.89 | $125.89 | $169.82 |
Cigna Setting Professional Modifier None Typical Low $107.15 Median $125.89 Typical High $169.82 | Professional | None | $107.15 | $125.89 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $218.78 | Professional | None | $218.78 | $218.78 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $467.74 | Facility | None | $120.23 | $147.91 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $309.03 Median $331.13 Typical High $331.13 | Professional | None | $309.03 | $331.13 | $331.13 |
Molina Setting Professional Modifier None Typical Low $19.50 Median $144.54 Typical High $194.98 | Professional | None | $19.50 | $144.54 | $194.98 |
United Setting Professional Modifier None Typical Low $79.43 Median $128.82 Typical High $245.47 | Professional | None | $79.43 | $128.82 | $245.47 |
United Setting Professional Modifier RR · Rental Typical Low $7.94 Median $12.88 Typical High $24.55 | Professional | RR · Rental | $7.94 | $12.88 | $24.55 |
United Setting Professional Modifier UE · Used equipment Typical Low $60.26 Median $95.50 Typical High $186.21 | Professional | UE · Used equipment | $60.26 | $95.50 | $186.21 |
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 $323.59 Typical High $323.59 | Professional | KE · Bid item, non-bid base | $323.59 | $323.59 | $323.59 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | KU · Bidding program group 3 | $380.19 | $380.19 | $380.19 |
Where South Carolina sits
The same service costs 3.0 times more in Kansas 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· 5th 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.