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 $66.07 Median $66.07 Typical High $66.07 | Facility | None | $66.07 | $66.07 | $66.07 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $66.07 Typical High $83.18 | Professional | None | $66.07 | $66.07 | $83.18 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $48.98 Median $48.98 Typical High $61.66 | Professional | UE · Used equipment | $48.98 | $48.98 | $61.66 |
BCBS South Carolina Setting Facility Modifier None Typical Low $120.23 Median $134.90 Typical High $134.90 | Facility | None | $120.23 | $134.90 | $134.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $87.10 Median $89.13 Typical High $134.90 | Professional | None | $87.10 | $89.13 | $134.90 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $13.49 Median $13.80 Typical High $13.80 | Professional | RR · Rental | $13.49 | $13.80 | $13.80 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $100.00 Median $100.00 Typical High $100.00 | Professional | UE · Used equipment | $100.00 | $100.00 | $100.00 |
Cigna Setting Facility Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Facility | None | $74.13 | $74.13 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $63.10 Median $74.13 Typical High $95.50 | Professional | None | $63.10 | $74.13 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $69.18 Typical High $69.18 | Professional | None | $69.18 | $69.18 | $69.18 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $77.62 Typical High $173.78 | Facility | None | $60.26 | $77.62 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $89.13 Median $89.13 Typical High $100.00 | Professional | None | $89.13 | $89.13 | $100.00 |
Molina Setting Professional Modifier None Typical Low $7.24 Median $53.70 Typical High $72.44 | Professional | None | $7.24 | $53.70 | $72.44 |
United Setting Professional Modifier None Typical Low $39.81 Median $58.88 Typical High $83.18 | Professional | None | $39.81 | $58.88 | $83.18 |
United Setting Professional Modifier RR · Rental Typical Low $4.17 Median $5.89 Typical High $8.71 | Professional | RR · Rental | $4.17 | $5.89 | $8.71 |
United Setting Professional Modifier UE · Used equipment Typical Low $30.20 Median $43.65 Typical High $63.10 | Professional | UE · Used equipment | $30.20 | $43.65 | $63.10 |
1 more rate 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 KU · Bidding program group 3 Typical Low $141.25 Median $141.25 Typical High $141.25 | Professional | KU · Bidding program group 3 | $141.25 | $141.25 | $141.25 |
Where South Carolina sits
The same service costs 3.0 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· 23rd of 51
$89.13
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.