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 $33.11 Median $33.11 Typical High $33.11 | Facility | None | $33.11 | $33.11 | $33.11 |
Aetna Setting Professional Modifier None Typical Low $33.11 Median $33.11 Typical High $41.69 | Professional | None | $33.11 | $33.11 | $41.69 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $24.55 Median $24.55 Typical High $31.62 | Professional | UE · Used equipment | $24.55 | $24.55 | $31.62 |
BCBS South Carolina Setting Facility Modifier None Typical Low $56.23 Median $63.10 Typical High $63.10 | Facility | None | $56.23 | $63.10 | $63.10 |
BCBS South Carolina Setting Professional Modifier None Typical Low $39.81 Median $47.86 Typical High $63.10 | Professional | None | $39.81 | $47.86 | $63.10 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $6.31 Median $6.31 Typical High $6.31 | Professional | RR · Rental | $6.31 | $6.31 | $6.31 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | UE · Used equipment | $46.77 | $46.77 | $46.77 |
Cigna Setting Facility Modifier None Typical Low $38.90 Median $38.90 Typical High $38.90 | Facility | None | $38.90 | $38.90 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $33.11 Median $38.90 Typical High $50.12 | Professional | None | $33.11 | $38.90 | $50.12 |
Medcost Setting Professional Modifier None Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $39.81 Typical High $79.43 | Facility | None | $31.62 | $39.81 | $79.43 |
Medcost Setting Professional Modifier None Typical Low $47.86 Median $47.86 Typical High $52.48 | Professional | None | $47.86 | $47.86 | $52.48 |
Molina Setting Professional Modifier None Typical Low $3.31 Median $24.55 Typical High $33.11 | Professional | None | $3.31 | $24.55 | $33.11 |
United Setting Professional Modifier None Typical Low $21.38 Median $29.51 Typical High $43.65 | Professional | None | $21.38 | $29.51 | $43.65 |
United Setting Professional Modifier RR · Rental Typical Low $2.14 Median $2.95 Typical High $4.37 | Professional | RR · Rental | $2.14 | $2.95 | $4.37 |
United Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $22.39 Typical High $32.36 | Professional | UE · Used equipment | $15.85 | $22.39 | $32.36 |
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 $66.07 Median $67.61 Typical High $67.61 | Professional | KE · Bid item, non-bid base | $66.07 | $67.61 | $67.61 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | KU · Bidding program group 3 | $64.57 | $64.57 | $64.57 |
Where South Carolina sits
The same service costs 2.2 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· 13th of 51
$47.86
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.