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 $21.38 Median $21.38 Typical High $21.38 | Facility | None | $21.38 | $21.38 | $21.38 |
Aetna Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $27.54 | Professional | None | $21.38 | $21.38 | $27.54 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $16.22 Typical High $19.50 | Professional | UE · Used equipment | $16.22 | $16.22 | $19.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $38.02 Median $41.69 Typical High $41.69 | Facility | None | $38.02 | $41.69 | $41.69 |
BCBS South Carolina Setting Professional Modifier None Typical Low $27.54 Median $33.11 Typical High $41.69 | Professional | None | $27.54 | $33.11 | $41.69 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $4.17 Median $4.17 Typical High $4.17 | Professional | RR · Rental | $4.17 | $4.17 | $4.17 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $30.90 Median $31.62 Typical High $31.62 | Professional | UE · Used equipment | $30.90 | $31.62 | $31.62 |
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 $34.67 | Professional | None | $21.38 | $25.12 | $34.67 |
Medcost Setting Professional Modifier None Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | None | $23.99 | $23.99 | $23.99 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $53.70 | Facility | None | $20.42 | $25.70 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $28.18 Median $28.18 Typical High $30.90 | Professional | None | $28.18 | $28.18 | $30.90 |
Molina Setting Professional Modifier None Typical Low $2.29 Median $16.98 Typical High $22.91 | Professional | None | $2.29 | $16.98 | $22.91 |
United Setting Professional Modifier None Typical Low $14.45 Median $19.05 Typical High $28.84 | Professional | None | $14.45 | $19.05 | $28.84 |
United Setting Professional Modifier RR · Rental Typical Low $1.45 Median $1.91 Typical High $2.88 | Professional | RR · Rental | $1.45 | $1.91 | $2.88 |
United Setting Professional Modifier UE · Used equipment Typical Low $10.96 Median $14.13 Typical High $21.38 | Professional | UE · Used equipment | $10.96 | $14.13 | $21.38 |
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 $44.67 Median $44.67 Typical High $44.67 | Professional | KE · Bid item, non-bid base | $44.67 | $44.67 | $44.67 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $44.67 Median $44.67 Typical High $44.67 | Professional | KU · Bidding program group 3 | $44.67 | $44.67 | $44.67 |
Where South Carolina sits
The same service costs 2.1 times more in Wisconsin 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· 11th of 51
$33.11
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.