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 $223.87 Median $223.87 Typical High $223.87 | Facility | None | $223.87 | $223.87 | $223.87 |
Aetna Setting Professional Modifier None Typical Low $223.87 Median $223.87 Typical High $257.04 | Professional | None | $223.87 | $223.87 | $257.04 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $109.65 Typical High $109.65 | Professional | None | $109.65 | $109.65 | $109.65 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $25.70 Median $33.88 Typical High $33.88 | Professional | RR · Rental | $25.70 | $33.88 | $33.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Facility | None | $1,548.82 | $1,548.82 | $1,548.82 |
BCBS South Carolina Setting Professional Modifier None Typical Low $436.52 Median $549.54 Typical High $549.54 | Professional | None | $436.52 | $549.54 | $549.54 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $43.65 Median $52.48 Typical High $54.95 | Professional | RR · Rental | $43.65 | $52.48 | $54.95 |
Cigna Setting Facility Modifier None Typical Low $194.98 Median $194.98 Typical High $257.04 | Facility | None | $194.98 | $194.98 | $257.04 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $194.98 Typical High $257.04 | Professional | None | $165.96 | $194.98 | $257.04 |
Medcost Setting Professional Modifier RR · Rental Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | RR · Rental | $37.15 | $37.15 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $30.90 Median $223.87 Typical High $302.00 | Facility | None | $30.90 | $223.87 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $234.42 Median $416.87 Typical High $416.87 | Professional | None | $234.42 | $416.87 | $416.87 |
Molina Setting Professional Modifier None Typical Low $27.54 Median $27.54 Typical High $37.15 | Professional | None | $27.54 | $27.54 | $37.15 |
United Setting Professional Modifier None Typical Low $14.13 Median $89.13 Typical High $223.87 | Professional | None | $14.13 | $89.13 | $223.87 |
United Setting Professional Modifier RR · Rental Typical Low $13.49 Median $22.39 Typical High $40.74 | Professional | RR · Rental | $13.49 | $22.39 | $40.74 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $165.96 Median $165.96 Typical High $190.55 | Professional | UE · Used equipment | $165.96 | $165.96 | $190.55 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | UE · Used equipment | $44.67 | $44.67 | $44.67 |
Where South Carolina sits
The same service costs 27.5 times more in Kansas 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· 2nd of 51
$437
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.