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 $33.88 Median $33.88 Typical High $33.88 | Facility | None | $33.88 | $33.88 | $33.88 |
Aetna Setting Professional Modifier None Typical Low $33.88 Median $33.88 Typical High $43.65 | Professional | None | $33.88 | $33.88 | $43.65 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $25.70 Median $25.70 Typical High $32.36 | Professional | UE · Used equipment | $25.70 | $25.70 | $32.36 |
BCBS South Carolina Setting Facility Modifier None Typical Low $58.88 Median $64.57 Typical High $64.57 | Facility | None | $58.88 | $64.57 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $40.74 Median $48.98 Typical High $64.57 | Professional | None | $40.74 | $48.98 | $64.57 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $6.46 Median $6.46 Typical High $6.46 | Professional | RR · Rental | $6.46 | $6.46 | $6.46 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $47.86 Median $48.98 Typical High $48.98 | Professional | UE · Used equipment | $47.86 | $48.98 | $48.98 |
Cigna Setting Facility Modifier None Typical Low $40.74 Median $40.74 Typical High $40.74 | Facility | None | $40.74 | $40.74 | $40.74 |
Cigna Setting Professional Modifier None Typical Low $34.67 Median $40.74 Typical High $51.29 | Professional | None | $34.67 | $40.74 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $38.02 Median $38.02 Typical High $38.02 | Professional | None | $38.02 | $38.02 | $38.02 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $40.74 Typical High $79.43 | Facility | None | $33.11 | $40.74 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $53.70 | Professional | None | $47.86 | $47.86 | $53.70 |
Molina Setting Professional Modifier None Typical Low $3.39 Median $25.12 Typical High $33.88 | Professional | None | $3.39 | $25.12 | $33.88 |
United Setting Professional Modifier None Typical Low $21.88 Median $30.90 Typical High $44.67 | Professional | None | $21.88 | $30.90 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.19 Median $3.09 Typical High $4.47 | Professional | RR · Rental | $2.19 | $3.09 | $4.47 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $22.91 Typical High $33.88 | Professional | UE · Used equipment | $16.22 | $22.91 | $33.88 |
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 $69.18 Median $69.18 Typical High $69.18 | Professional | KE · Bid item, non-bid base | $69.18 | $69.18 | $69.18 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $66.07 Median $66.07 Typical High $66.07 | Professional | KU · Bidding program group 3 | $66.07 | $66.07 | $66.07 |
Where South Carolina sits
The same service costs 2.3 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· 15th of 51
$48.98
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.