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 $3,890.45 Median $3,890.45 Typical High $3,890.45 | Facility | None | $3,890.45 | $3,890.45 | $3,890.45 |
Aetna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $5,011.87 | Professional | None | $3,890.45 | $3,890.45 | $5,011.87 |
BCBS South Carolina Setting Facility Modifier KF · Class III device + RR · Rental Typical Low $724.44 Median $812.83 Typical High $812.83 | Facility | KF · Class III device + RR · Rental | $724.44 | $812.83 | $812.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $4,073.80 Median $6,165.95 Typical High $6,165.95 | Professional | None | $4,073.80 | $6,165.95 | $6,165.95 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $446.68 Median $616.60 Typical High $724.44 | Professional | RR · Rental | $446.68 | $616.60 | $724.44 |
Cigna Setting Facility Modifier None Typical Low $5,128.61 Median $5,128.61 Typical High $5,128.61 | Facility | None | $5,128.61 | $5,128.61 | $5,128.61 |
Cigna Setting Professional Modifier None Typical Low $4,365.16 Median $5,128.61 Typical High $5,128.61 | Professional | None | $4,365.16 | $5,128.61 | $5,128.61 |
Medcost Setting Professional Modifier RR · Rental Typical Low $354.81 Median $354.81 Typical High $354.81 | Professional | RR · Rental | $354.81 | $354.81 | $354.81 |
Medcost Setting Facility Modifier None Typical Low $812.83 Median $3,890.45 Typical High $5,370.32 | Facility | None | $812.83 | $3,890.45 | $5,370.32 |
Medcost Setting Professional Modifier None Typical Low $2,818.38 Median $2,818.38 Typical High $5,754.40 | Professional | None | $2,818.38 | $2,818.38 | $5,754.40 |
Molina Setting Professional Modifier None Typical Low $371.54 Median $2,630.27 Typical High $3,715.35 | Professional | None | $371.54 | $2,630.27 | $3,715.35 |
United Setting Professional Modifier None Typical Low $1,621.81 Median $2,344.23 Typical High $5,011.87 | Professional | None | $1,621.81 | $2,344.23 | $5,011.87 |
United Setting Professional Modifier RR · Rental Typical Low $234.42 Median $331.13 Typical High $467.74 | Professional | RR · Rental | $234.42 | $331.13 | $467.74 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier KF · Class III device Typical Low $134.90 Median $134.90 Typical High $134.90 | Professional | KF · Class III device | $134.90 | $134.90 | $134.90 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $2,951.21 Median $2,951.21 Typical High $3,801.89 | Professional | UE · Used equipment | $2,951.21 | $2,951.21 | $3,801.89 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $4,570.88 Median $4,570.88 Typical High $4,570.88 | Professional | UE · Used equipment | $4,570.88 | $4,570.88 | $4,570.88 |
Where South Carolina sits
The same service costs 12.6 times more in Kansas than in Mississippi. 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· 9th of 51
$5,370
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.