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 $50.12 Median $50.12 Typical High $50.12 | Facility | None | $50.12 | $50.12 | $50.12 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $50.12 Typical High $64.57 | Professional | None | $35.48 | $50.12 | $64.57 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $26.30 Median $38.02 Typical High $38.02 | Professional | UE · Used equipment | $26.30 | $38.02 | $38.02 |
Ambetter Setting Professional Modifier RR · Rental Typical Low $5.13 Median $5.13 Typical High $5.13 | Professional | RR · Rental | $5.13 | $5.13 | $5.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $93.33 Median $104.71 Typical High $104.71 | Facility | None | $93.33 | $104.71 | $104.71 |
BCBS South Carolina Setting Professional Modifier None Typical Low $69.18 Median $83.18 Typical High $104.71 | Professional | None | $69.18 | $83.18 | $104.71 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $10.23 Median $10.47 Typical High $10.47 | Professional | RR · Rental | $10.23 | $10.47 | $10.47 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $77.62 Median $77.62 Typical High $77.62 | Professional | UE · Used equipment | $77.62 | $77.62 | $77.62 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $56.23 Typical High $74.13 | Facility | None | $56.23 | $56.23 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $56.23 Typical High $89.13 | Professional | None | $47.86 | $56.23 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $64.57 Median $64.57 Typical High $64.57 | Professional | None | $64.57 | $64.57 | $64.57 |
Medcost Setting Facility Modifier None Typical Low $45.71 Median $60.26 Typical High $138.04 | Facility | None | $45.71 | $60.26 | $138.04 |
Medcost Setting Professional Modifier None Typical Low $83.18 Median $83.18 Typical High $93.33 | Professional | None | $83.18 | $83.18 | $93.33 |
Molina Setting Professional Modifier None Typical Low $5.75 Median $42.66 Typical High $57.54 | Professional | None | $5.75 | $42.66 | $57.54 |
United Setting Professional Modifier None Typical Low $33.11 Median $45.71 Typical High $74.13 | Professional | None | $33.11 | $45.71 | $74.13 |
United Setting Professional Modifier RR · Rental Typical Low $3.31 Median $4.57 Typical High $7.41 | Professional | RR · Rental | $3.31 | $4.57 | $7.41 |
United Setting Professional Modifier UE · Used equipment Typical Low $25.12 Median $33.88 Typical High $56.23 | Professional | UE · Used equipment | $25.12 | $33.88 | $56.23 |
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 $112.20 Median $112.20 Typical High $112.20 | Professional | KE · Bid item, non-bid base | $112.20 | $112.20 | $112.20 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $114.82 Median $114.82 Typical High $114.82 | Professional | KU · Bidding program group 3 | $114.82 | $114.82 | $114.82 |
Where South Carolina sits
The same service costs 2.3 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· 12th of 51
$83.18
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.