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 $26.92 | Professional | None | $21.38 | $21.38 | $26.92 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $15.85 Median $15.85 Typical High $19.95 | Professional | UE · Used equipment | $15.85 | $15.85 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $35.48 Median $39.81 Typical High $39.81 | Facility | None | $35.48 | $39.81 | $39.81 |
BCBS South Carolina Setting Professional Modifier None Typical Low $24.55 Median $30.20 Typical High $39.81 | Professional | None | $24.55 | $30.20 | $39.81 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $3.89 Median $3.98 Typical High $3.98 | Professional | RR · Rental | $3.89 | $3.98 | $3.98 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | UE · Used equipment | $29.51 | $29.51 | $29.51 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $26.30 Typical High $26.30 | Facility | None | $26.30 | $26.30 | $26.30 |
Cigna Setting Professional Modifier None Typical Low $16.22 Median $31.62 Typical High $44.67 | Professional | None | $16.22 | $31.62 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $22.91 | Professional | None | $22.91 | $22.91 | $22.91 |
Medcost Setting Facility Modifier None Typical Low $20.42 Median $25.70 Typical High $48.98 | Facility | None | $20.42 | $25.70 | $48.98 |
Medcost Setting Professional Modifier None Typical Low $28.84 Median $28.84 Typical High $32.36 | Professional | None | $28.84 | $28.84 | $32.36 |
Molina Setting Professional Modifier None Typical Low $2.04 Median $15.14 Typical High $20.42 | Professional | None | $2.04 | $15.14 | $20.42 |
United Setting Professional Modifier None Typical Low $13.18 Median $19.05 Typical High $27.54 | Professional | None | $13.18 | $19.05 | $27.54 |
United Setting Professional Modifier RR · Rental Typical Low $1.29 Median $1.91 Typical High $2.69 | Professional | RR · Rental | $1.29 | $1.91 | $2.69 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.77 Median $14.13 Typical High $20.42 | Professional | UE · Used equipment | $9.77 | $14.13 | $20.42 |
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 $42.66 Median $42.66 Typical High $42.66 | Professional | KE · Bid item, non-bid base | $42.66 | $42.66 | $42.66 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $39.81 Median $39.81 Typical High $39.81 | Professional | KU · Bidding program group 3 | $39.81 | $39.81 | $39.81 |
Where South Carolina sits
The same service costs 2.5 times more in Montana than in Rhode Island. 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· 19th of 51
$30.20
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.