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 $263.03 Median $263.03 Typical High $263.03 | Facility | None | $263.03 | $263.03 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $263.03 Median $263.03 Typical High $338.84 | Professional | None | $263.03 | $263.03 | $338.84 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $199.53 Median $199.53 Typical High $251.19 | Professional | UE · Used equipment | $199.53 | $199.53 | $251.19 |
BCBS South Carolina Setting Facility Modifier None Typical Low $457.09 Median $501.19 Typical High $501.19 | Facility | None | $457.09 | $501.19 | $501.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $316.23 Median $323.59 Typical High $501.19 | Professional | None | $316.23 | $323.59 | $501.19 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | RR · Rental | $50.12 | $50.12 | $50.12 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $380.19 Median $380.19 Typical High $380.19 | Professional | UE · Used equipment | $380.19 | $380.19 | $380.19 |
Cigna Setting Facility Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Facility | None | $331.13 | $331.13 | $331.13 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $331.13 Typical High $354.81 | Professional | None | $281.84 | $331.13 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $338.84 Typical High $630.96 | Facility | None | $263.03 | $338.84 | $630.96 |
Medcost Setting Professional Modifier None Typical Low $380.19 Median $380.19 Typical High $457.09 | Professional | None | $380.19 | $380.19 | $457.09 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $204.17 Typical High $275.42 | Professional | None | $27.54 | $204.17 | $275.42 |
United Setting Professional Modifier None Typical Low $169.82 Median $239.88 Typical High $354.81 | Professional | None | $169.82 | $239.88 | $354.81 |
United Setting Professional Modifier RR · Rental Typical Low $16.98 Median $23.99 Typical High $35.48 | Professional | RR · Rental | $16.98 | $23.99 | $35.48 |
United Setting Professional Modifier UE · Used equipment Typical Low $125.89 Median $177.83 Typical High $263.03 | Professional | UE · Used equipment | $125.89 | $177.83 | $263.03 |
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 $537.03 Median $537.03 Typical High $537.03 | Professional | KE · Bid item, non-bid base | $537.03 | $537.03 | $537.03 |
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 2.2 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· 36th of 51
$324
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.