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 $26.92 Median $26.92 Typical High $26.92 | Facility | None | $26.92 | $26.92 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $26.92 Median $26.92 Typical High $34.67 | Professional | None | $26.92 | $26.92 | $34.67 |
BCBS South Carolina Setting Facility Modifier None Typical Low $45.71 Median $50.12 Typical High $50.12 | Facility | None | $45.71 | $50.12 | $50.12 |
BCBS South Carolina Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $50.12 | Professional | None | $30.90 | $37.15 | $50.12 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $4.47 Median $4.47 Typical High $4.47 | Professional | RR · Rental | $4.47 | $4.47 | $4.47 |
Cigna Setting Facility Modifier None Typical Low $25.12 Median $25.12 Typical High $25.12 | Facility | None | $25.12 | $25.12 | $25.12 |
Cigna Setting Professional Modifier None Typical Low $21.38 Median $25.12 Typical High $38.90 | Professional | None | $21.38 | $25.12 | $38.90 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $28.84 | Professional | None | $28.84 | $28.84 | $28.84 |
Medcost Setting Facility Modifier None Typical Low $26.92 Median $32.36 Typical High $63.10 | Facility | None | $26.92 | $32.36 | $63.10 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $40.74 | Professional | None | $37.15 | $37.15 | $40.74 |
Molina Setting Professional Modifier None Typical Low $2.51 Median $19.05 Typical High $25.70 | Professional | None | $2.51 | $19.05 | $25.70 |
United Setting Professional Modifier None Typical Low $19.05 Median $24.55 Typical High $34.67 | Professional | None | $19.05 | $24.55 | $34.67 |
United Setting Professional Modifier RR · Rental Typical Low $1.74 Median $2.19 Typical High $3.24 | Professional | RR · Rental | $1.74 | $2.19 | $3.24 |
4 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 $20.42 Median $20.42 Typical High $25.70 | Professional | UE · Used equipment | $20.42 | $20.42 | $25.70 |
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $53.70 Median $53.70 Typical High $53.70 | Professional | KE · Bid item, non-bid base | $53.70 | $53.70 | $53.70 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $50.12 Median $50.12 Typical High $50.12 | Professional | KU · Bidding program group 3 | $50.12 | $50.12 | $50.12 |
United Setting Professional Modifier UE · Used equipment Typical Low $14.45 Median $18.62 Typical High $25.70 | Professional | UE · Used equipment | $14.45 | $18.62 | $25.70 |
Where South Carolina sits
The same service costs 4.8 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· 29th of 51
$37.15
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.