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 $208.93 Median $208.93 Typical High $208.93 | Facility | None | $208.93 | $208.93 | $208.93 |
Aetna Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $269.15 | Professional | None | $208.93 | $208.93 | $269.15 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $158.49 Median $158.49 Typical High $165.96 | Professional | UE · Used equipment | $158.49 | $158.49 | $165.96 |
BCBS South Carolina Setting Facility Modifier None Typical Low $354.81 Median $398.11 Typical High $398.11 | Facility | None | $354.81 | $398.11 | $398.11 |
BCBS South Carolina Setting Professional Modifier None Typical Low $245.47 Median $316.23 Typical High $398.11 | Professional | None | $245.47 | $316.23 | $398.11 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | RR · Rental | $39.81 | $39.81 | $39.81 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $295.12 Median $295.12 Typical High $295.12 | Professional | UE · Used equipment | $295.12 | $295.12 | $295.12 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $263.03 Typical High $323.59 | Facility | None | $263.03 | $263.03 | $323.59 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $263.03 Typical High $323.59 | Professional | None | $223.87 | $263.03 | $323.59 |
Medcost Setting Facility Modifier None Typical Low $208.93 Median $229.09 Typical High $489.78 | Facility | None | $208.93 | $229.09 | $489.78 |
Medcost Setting Professional Modifier None Typical Low $302.00 Median $302.00 Typical High $371.54 | Professional | None | $302.00 | $302.00 | $371.54 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $162.18 Typical High $213.80 | Professional | None | $21.38 | $162.18 | $213.80 |
United Setting Professional Modifier None Typical Low $131.83 Median $190.55 Typical High $275.42 | Professional | None | $131.83 | $190.55 | $275.42 |
United Setting Professional Modifier RR · Rental Typical Low $13.18 Median $19.05 Typical High $27.54 | Professional | RR · Rental | $13.18 | $19.05 | $27.54 |
United Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $141.25 Typical High $208.93 | Professional | UE · Used equipment | $100.00 | $141.25 | $208.93 |
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 $426.58 Median $426.58 Typical High $426.58 | Professional | KE · Bid item, non-bid base | $426.58 | $426.58 | $426.58 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | KU · Bidding program group 3 | $407.38 | $407.38 | $407.38 |
Where South Carolina sits
The same service costs 2.2 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· 13th of 51
$316
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.