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 $218.78 Median $218.78 Typical High $218.78 | Facility | None | $218.78 | $218.78 | $218.78 |
Aetna Setting Professional Modifier None Typical Low $218.78 Median $218.78 Typical High $275.42 | Professional | None | $218.78 | $218.78 | $275.42 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $162.18 Median $162.18 Typical High $208.93 | Professional | UE · Used equipment | $162.18 | $162.18 | $208.93 |
BCBS South Carolina Setting Facility Modifier None Typical Low $407.38 Median $446.68 Typical High $446.68 | Facility | None | $407.38 | $446.68 | $446.68 |
BCBS South Carolina Setting Professional Modifier None Typical Low $295.12 Median $338.84 Typical High $446.68 | Professional | None | $295.12 | $338.84 | $446.68 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $29.51 Median $33.88 Typical High $44.67 | Professional | RR · Rental | $29.51 | $33.88 | $44.67 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $331.13 Median $338.84 Typical High $338.84 | Professional | UE · Used equipment | $331.13 | $338.84 | $338.84 |
Cigna Setting Facility Modifier None Typical Low $245.47 Median $245.47 Typical High $316.23 | Facility | None | $245.47 | $245.47 | $316.23 |
Cigna Setting Professional Modifier None Typical Low $208.93 Median $245.47 Typical High $316.23 | Professional | None | $208.93 | $245.47 | $316.23 |
Medcost Setting Professional Modifier None Typical Low $275.42 Median $275.42 Typical High $275.42 | Professional | None | $275.42 | $275.42 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $199.53 Median $263.03 Typical High $588.84 | Facility | None | $199.53 | $263.03 | $588.84 |
Medcost Setting Professional Modifier None Typical Low $389.05 Median $416.87 Typical High $416.87 | Professional | None | $389.05 | $416.87 | $416.87 |
Molina Setting Professional Modifier None Typical Low $24.55 Median $181.97 Typical High $245.47 | Professional | None | $24.55 | $181.97 | $245.47 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $323.59 | Professional | None | $144.54 | $199.53 | $323.59 |
United Setting Professional Modifier RR · Rental Typical Low $14.45 Median $19.95 Typical High $32.36 | Professional | RR · Rental | $14.45 | $19.95 | $32.36 |
United Setting Professional Modifier UE · Used equipment Typical Low $109.65 Median $147.91 Typical High $239.88 | Professional | UE · Used equipment | $109.65 | $147.91 | $239.88 |
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 $478.63 Median $478.63 Typical High $478.63 | Professional | KE · Bid item, non-bid base | $478.63 | $478.63 | $478.63 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $478.63 Median $478.63 Typical High $478.63 | Professional | KU · Bidding program group 3 | $478.63 | $478.63 | $478.63 |
Where South Carolina sits
The same service costs 2.4 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· 12th 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.