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 $37.15 Median $37.15 Typical High $37.15 | Facility | None | $37.15 | $37.15 | $37.15 |
Aetna Setting Professional Modifier None Typical Low $21.88 Median $37.15 Typical High $46.77 | Professional | None | $21.88 | $37.15 | $46.77 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $16.22 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $16.22 | $27.54 | $27.54 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $3.39 Median $3.39 Typical High $3.39 | Professional | RR · Rental | $3.39 | $3.39 | $3.39 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $69.18 Typical High $69.18 | Facility | None | $61.66 | $69.18 | $69.18 |
BCBS South Carolina Setting Professional Modifier None Typical Low $42.66 Median $51.29 Typical High $69.18 | Professional | None | $42.66 | $51.29 | $69.18 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $6.92 Median $7.08 Typical High $7.08 | Professional | RR · Rental | $6.92 | $7.08 | $7.08 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $51.29 Median $51.29 Typical High $51.29 | Professional | UE · Used equipment | $51.29 | $51.29 | $51.29 |
Cigna Setting Facility Modifier None Typical Low $44.67 Median $44.67 Typical High $44.67 | Facility | None | $44.67 | $44.67 | $44.67 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $44.67 Typical High $53.70 | Professional | None | $38.02 | $44.67 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | None | $39.81 | $39.81 | $39.81 |
Medcost Setting Facility Modifier None Typical Low $35.48 Median $43.65 Typical High $85.11 | Facility | None | $35.48 | $43.65 | $85.11 |
Medcost Setting Professional Modifier None Typical Low $51.29 Median $51.29 Typical High $56.23 | Professional | None | $51.29 | $51.29 | $56.23 |
Molina Setting Professional Modifier None Typical Low $3.55 Median $26.30 Typical High $35.48 | Professional | None | $3.55 | $26.30 | $35.48 |
United Setting Professional Modifier None Typical Low $22.91 Median $30.90 Typical High $44.67 | Professional | None | $22.91 | $30.90 | $44.67 |
United Setting Professional Modifier RR · Rental Typical Low $2.34 Median $3.16 Typical High $4.57 | Professional | RR · Rental | $2.34 | $3.16 | $4.57 |
United Setting Professional Modifier UE · Used equipment Typical Low $16.98 Median $23.44 Typical High $33.11 | Professional | UE · Used equipment | $16.98 | $23.44 | $33.11 |
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 $74.13 Median $74.13 Typical High $74.13 | Professional | KE · Bid item, non-bid base | $74.13 | $74.13 | $74.13 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | KU · Bidding program group 3 | $69.18 | $69.18 | $69.18 |
Where South Carolina sits
The same service costs 3.8 times more in Hawaii 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· 17th of 51
$51.29
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.