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 $10.96 Median $10.96 Typical High $10.96 | Facility | None | $10.96 | $10.96 | $10.96 |
Aetna Setting Professional Modifier None Typical Low $10.96 Median $10.96 Typical High $14.13 | Professional | None | $10.96 | $10.96 | $14.13 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $8.32 Median $8.32 Typical High $10.47 | Professional | UE · Used equipment | $8.32 | $8.32 | $10.47 |
BCBS South Carolina Setting Facility Modifier None Typical Low $18.20 Median $20.42 Typical High $20.42 | Facility | None | $18.20 | $20.42 | $20.42 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.59 Median $15.14 Typical High $20.42 | Professional | None | $12.59 | $15.14 | $20.42 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $15.14 Median $15.49 Typical High $15.49 | Professional | UE · Used equipment | $15.14 | $15.49 | $15.49 |
Cigna Setting Facility Modifier None Typical Low $13.18 Median $13.18 Typical High $13.18 | Facility | None | $13.18 | $13.18 | $13.18 |
Cigna Setting Professional Modifier None Typical Low $11.22 Median $13.18 Typical High $15.85 | Professional | None | $11.22 | $13.18 | $15.85 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $11.75 Typical High $11.75 | Professional | None | $11.75 | $11.75 | $11.75 |
Medcost Setting Facility Modifier None Typical Low $10.72 Median $13.18 Typical High $25.70 | Facility | None | $10.72 | $13.18 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $15.14 Median $15.14 Typical High $16.60 | Professional | None | $15.14 | $15.14 | $16.60 |
Molina Setting Professional Modifier None Typical Low $1.05 Median $7.76 Typical High $10.23 | Professional | None | $1.05 | $7.76 | $10.23 |
United Setting Professional Modifier None Typical Low $6.61 Median $9.77 Typical High $14.13 | Professional | None | $6.61 | $9.77 | $14.13 |
United Setting Professional Modifier UE · Used equipment Typical Low $5.01 Median $7.41 Typical High $10.47 | Professional | UE · Used equipment | $5.01 | $7.41 | $10.47 |
5 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 MS · Maintenance fee Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | MS · Maintenance fee | $1.12 | $1.12 | $1.12 |
Aetna Setting Professional Modifier RR · Rental Typical Low $1.12 Median $1.12 Typical High $1.12 | Professional | RR · Rental | $1.12 | $1.12 | $1.12 |
BCBS South Carolina Setting Professional Modifier KE · Bid item, non-bid base Typical Low $21.88 Median $21.88 Typical High $21.88 | Professional | KE · Bid item, non-bid base | $21.88 | $21.88 | $21.88 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $20.42 Median $20.42 Typical High $20.42 | Professional | KU · Bidding program group 3 | $20.42 | $20.42 | $20.42 |
United Setting Professional Modifier RR · Rental Typical Low $0.68 Median $1.00 Typical High $1.41 | Professional | RR · Rental | $0.68 | $1.00 | $1.41 |
Where South Carolina sits
The same service costs 2.7 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· 17th of 51
$15.14
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.