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 $114.82 Median $114.82 Typical High $114.82 | Facility | None | $114.82 | $114.82 | $114.82 |
Aetna Setting Professional Modifier None Typical Low $114.82 Median $114.82 Typical High $144.54 | Professional | None | $114.82 | $114.82 | $144.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $87.10 Median $87.10 Typical High $107.15 | Professional | UE · Used equipment | $87.10 | $87.10 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $234.42 | Facility | None | $213.80 | $234.42 | $234.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $144.54 Median $181.97 Typical High $234.42 | Professional | None | $144.54 | $181.97 | $234.42 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $14.79 Median $18.20 Typical High $23.44 | Professional | RR · Rental | $14.79 | $18.20 | $23.44 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $177.83 Median $177.83 Typical High $177.83 | Professional | UE · Used equipment | $177.83 | $177.83 | $177.83 |
Cigna Setting Facility Modifier None Typical Low $83.18 Median $83.18 Typical High $83.18 | Facility | None | $83.18 | $83.18 | $83.18 |
Cigna Setting Professional Modifier None Typical Low $60.26 Median $83.18 Typical High $83.18 | Professional | None | $60.26 | $83.18 | $83.18 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $144.54 Typical High $288.40 | Facility | None | $114.82 | $144.54 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | None | $173.78 | $173.78 | $173.78 |
United Setting Professional Modifier None Typical Low $69.18 Median $97.72 Typical High $134.90 | Professional | None | $69.18 | $97.72 | $134.90 |
United Setting Professional Modifier RR · Rental Typical Low $6.92 Median $9.77 Typical High $13.49 | Professional | RR · Rental | $6.92 | $9.77 | $13.49 |
United Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $72.44 Typical High $102.33 | Professional | UE · Used equipment | $51.29 | $72.44 | $102.33 |
3 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 KU · Bidding program group 3 Typical Low $239.88 Median $239.88 Typical High $239.88 | Professional | KU · Bidding program group 3 | $239.88 | $239.88 | $239.88 |
BCBS South Carolina Setting Professional Modifier NN · Ambulance N to N Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | NN · Ambulance N to N | $165.96 | $165.96 | $165.96 |
BCBS South Carolina Setting Professional Modifier UU Typical Low $123.03 Median $123.03 Typical High $123.03 | Professional | UU | $123.03 | $123.03 | $123.03 |
Where South Carolina sits
The same service costs 2.9 times more in Kansas than in Vermont. 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· 10th of 51
$182
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.