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 $12.88 Median $12.88 Typical High $12.88 | Facility | None | $12.88 | $12.88 | $12.88 |
Aetna Setting Professional Modifier None Typical Low $12.88 Median $12.88 Typical High $16.22 | Professional | None | $12.88 | $12.88 | $16.22 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $9.55 Median $9.55 Typical High $12.30 | Professional | UE · Used equipment | $9.55 | $9.55 | $12.30 |
BCBS South Carolina Setting Facility Modifier None Typical Low $21.38 Median $23.99 Typical High $23.99 | Facility | None | $21.38 | $23.99 | $23.99 |
BCBS South Carolina Setting Professional Modifier None Typical Low $14.79 Median $18.20 Typical High $23.99 | Professional | None | $14.79 | $18.20 | $23.99 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $2.34 Median $2.40 Typical High $2.40 | Professional | RR · Rental | $2.34 | $2.40 | $2.40 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $17.78 Median $18.20 Typical High $18.20 | Professional | UE · Used equipment | $17.78 | $18.20 | $18.20 |
Cigna Setting Facility Modifier None Typical Low $15.14 Median $15.14 Typical High $19.95 | Facility | None | $15.14 | $15.14 | $19.95 |
Cigna Setting Professional Modifier None Typical Low $12.88 Median $15.14 Typical High $19.95 | Professional | None | $12.88 | $15.14 | $19.95 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $13.80 Typical High $13.80 | Professional | None | $13.80 | $13.80 | $13.80 |
Medcost Setting Facility Modifier None Typical Low $12.59 Median $15.49 Typical High $29.51 | Facility | None | $12.59 | $15.49 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $19.50 | Professional | None | $18.20 | $18.20 | $19.50 |
Molina Setting Professional Modifier None Typical Low $1.20 Median $9.12 Typical High $12.02 | Professional | None | $1.20 | $9.12 | $12.02 |
United Setting Professional Modifier None Typical Low $7.76 Median $11.48 Typical High $16.60 | Professional | None | $7.76 | $11.48 | $16.60 |
United Setting Professional Modifier RR · Rental Typical Low $0.78 Median $1.15 Typical High $1.62 | Professional | RR · Rental | $0.78 | $1.15 | $1.62 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.89 Median $8.51 Typical High $12.30 | Professional | UE · Used equipment | $5.89 | $8.51 | $12.30 |
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 $25.70 Median $25.70 Typical High $25.70 | Professional | KE · Bid item, non-bid base | $25.70 | $25.70 | $25.70 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $23.99 Median $23.99 Typical High $23.99 | Professional | KU · Bidding program group 3 | $23.99 | $23.99 | $23.99 |
Where South Carolina sits
The same service costs 2.3 times more in Kansas 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· 15th of 51
$18.20
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.