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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $162.18 Median $223.87 Typical High $288.40 | Professional | None | $162.18 | $223.87 | $288.40 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $120.23 Median $169.82 Typical High $169.82 | Professional | UE · Used equipment | $120.23 | $169.82 | $169.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $467.74 Typical High $467.74 | Facility | None | $416.87 | $467.74 | $467.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $316.23 Median $338.84 Typical High $467.74 | Professional | None | $316.23 | $338.84 | $467.74 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $45.71 Median $46.77 Typical High $46.77 | Professional | RR · Rental | $45.71 | $46.77 | $46.77 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $346.74 Median $346.74 Typical High $346.74 | Professional | UE · Used equipment | $346.74 | $346.74 | $346.74 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $323.59 | Facility | None | $245.47 | $245.47 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $323.59 | Professional | None | $208.93 | $245.47 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | None | $295.12 | $295.12 | $295.12 |
Medcost Setting Facility Modifier None Typical Low $204.17 Median $257.04 Typical High $630.96 | Facility | None | $204.17 | $257.04 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $426.58 Median $446.68 Typical High $446.68 | Professional | None | $426.58 | $446.68 | $446.68 |
Molina Setting Professional Modifier None Typical Low $26.30 Median $194.98 Typical High $263.03 | Professional | None | $26.30 | $194.98 | $263.03 |
United Setting Professional Modifier None Typical Low $147.91 Median $204.17 Typical High $331.13 | Professional | None | $147.91 | $204.17 | $331.13 |
United Setting Professional Modifier RR · Rental Typical Low $14.79 Median $20.42 Typical High $33.11 | Professional | RR · Rental | $14.79 | $20.42 | $33.11 |
United Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $151.36 Typical High $251.19 | Professional | UE · Used equipment | $109.65 | $151.36 | $251.19 |
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 $501.19 Median $501.19 Typical High $501.19 | Professional | KE · Bid item, non-bid base | $501.19 | $501.19 | $501.19 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $524.81 Median $524.81 Typical High $524.81 | Professional | KU · Bidding program group 3 | $524.81 | $524.81 | $524.81 |
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· 16th of 51
$339
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.