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 $57.54 Median $57.54 Typical High $57.54 | Facility | None | $57.54 | $57.54 | $57.54 |
Aetna Setting Professional Modifier None Typical Low $38.90 Median $57.54 Typical High $72.44 | Professional | None | $38.90 | $57.54 | $72.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $29.51 Median $43.65 Typical High $43.65 | Professional | UE · Used equipment | $29.51 | $43.65 | $43.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $120.23 | Facility | None | $107.15 | $120.23 | $120.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $75.86 Median $91.20 Typical High $120.23 | Professional | None | $75.86 | $91.20 | $120.23 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $11.75 Median $12.02 Typical High $12.02 | Professional | RR · Rental | $11.75 | $12.02 | $12.02 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $89.13 Median $89.13 Typical High $89.13 | Professional | UE · Used equipment | $89.13 | $89.13 | $89.13 |
Cigna Setting Facility Modifier None Typical Low $66.07 Median $66.07 Typical High $87.10 | Facility | None | $66.07 | $66.07 | $87.10 |
Cigna Setting Professional Modifier None Typical Low $56.23 Median $66.07 Typical High $97.72 | Professional | None | $56.23 | $66.07 | $97.72 |
Medcost Setting Professional Modifier None Typical Low $70.79 Median $70.79 Typical High $70.79 | Professional | None | $70.79 | $70.79 | $70.79 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $69.18 Typical High $151.36 | Facility | None | $53.70 | $69.18 | $151.36 |
Medcost Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $102.33 | Professional | None | $91.20 | $91.20 | $102.33 |
Molina Setting Professional Modifier None Typical Low $6.31 Median $47.86 Typical High $63.10 | Professional | None | $6.31 | $47.86 | $63.10 |
United Setting Professional Modifier None Typical Low $38.90 Median $51.29 Typical High $85.11 | Professional | None | $38.90 | $51.29 | $85.11 |
United Setting Professional Modifier RR · Rental Typical Low $3.89 Median $5.13 Typical High $8.51 | Professional | RR · Rental | $3.89 | $5.13 | $8.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $28.84 Median $38.90 Typical High $63.10 | Professional | UE · Used equipment | $28.84 | $38.90 | $63.10 |
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 $125.89 Median $128.82 Typical High $128.82 | Professional | KE · Bid item, non-bid base | $125.89 | $128.82 | $128.82 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $125.89 Median $125.89 Typical High $125.89 | Professional | KU · Bidding program group 3 | $125.89 | $125.89 | $125.89 |
Where South Carolina sits
The same service costs 2.5 times more in Kansas 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
$91.20
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.