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 $316.23 Median $316.23 Typical High $316.23 | Facility | None | $316.23 | $316.23 | $316.23 |
Aetna Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $407.38 | Professional | None | $316.23 | $316.23 | $407.38 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $239.88 Median $239.88 Typical High $302.00 | Professional | UE · Used equipment | $239.88 | $239.88 | $302.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $588.84 Median $645.65 Typical High $645.65 | Facility | None | $588.84 | $645.65 | $645.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $426.58 Median $501.19 Typical High $645.65 | Professional | None | $426.58 | $501.19 | $645.65 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | RR · Rental | $64.57 | $64.57 | $64.57 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $489.78 Median $489.78 Typical High $489.78 | Professional | UE · Used equipment | $489.78 | $489.78 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $354.81 Typical High $467.74 | Facility | None | $354.81 | $354.81 | $467.74 |
Cigna Setting Professional Modifier None Typical Low $302.00 Median $354.81 Typical High $467.74 | Professional | None | $302.00 | $354.81 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $398.11 Median $398.11 Typical High $398.11 | Professional | None | $398.11 | $398.11 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $288.40 Median $371.54 Typical High $851.14 | Facility | None | $288.40 | $371.54 | $851.14 |
Medcost Setting Professional Modifier None Typical Low $575.44 Median $575.44 Typical High $575.44 | Professional | None | $575.44 | $575.44 | $575.44 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $269.15 Typical High $354.81 | Professional | None | $35.48 | $269.15 | $354.81 |
United Setting Professional Modifier None Typical Low $208.93 Median $288.40 Typical High $467.74 | Professional | None | $208.93 | $288.40 | $467.74 |
United Setting Professional Modifier RR · Rental Typical Low $20.89 Median $28.84 Typical High $46.77 | Professional | RR · Rental | $20.89 | $28.84 | $46.77 |
United Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $218.78 Typical High $354.81 | Professional | UE · Used equipment | $158.49 | $218.78 | $354.81 |
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 $691.83 Median $707.95 Typical High $707.95 | Professional | KE · Bid item, non-bid base | $691.83 | $707.95 | $707.95 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | KU · Bidding program group 3 | $707.95 | $707.95 | $707.95 |
Where South Carolina sits
The same service costs 2.7 times more in Hawaii than in New Mexico. 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· 11th of 51
$501
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.