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 $18.62 Median $18.62 Typical High $18.62 | Facility | None | $18.62 | $18.62 | $18.62 |
Aetna Setting Professional Modifier None Typical Low $18.62 Median $18.62 Typical High $23.44 | Professional | None | $18.62 | $18.62 | $23.44 |
Aetna Setting Professional Modifier UE · Used equipment Typical Low $14.13 Median $14.13 Typical High $17.78 | Professional | UE · Used equipment | $14.13 | $14.13 | $17.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.11 Median $37.15 Typical High $37.15 | Facility | None | $33.11 | $37.15 | $37.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.91 Median $33.11 Typical High $37.15 | Professional | None | $22.91 | $33.11 | $37.15 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $3.72 Median $3.72 Typical High $3.72 | Professional | RR · Rental | $3.72 | $3.72 | $3.72 |
BCBS South Carolina Setting Professional Modifier UE · Used equipment Typical Low $27.54 Median $27.54 Typical High $27.54 | Professional | UE · Used equipment | $27.54 | $27.54 | $27.54 |
Cigna Setting Facility Modifier None Typical Low $22.39 Median $22.39 Typical High $29.51 | Facility | None | $22.39 | $22.39 | $29.51 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $22.39 Typical High $29.51 | Professional | None | $19.05 | $22.39 | $29.51 |
Medcost Setting Professional Modifier None Typical Low $21.38 Median $21.38 Typical High $21.38 | Professional | None | $21.38 | $21.38 | $21.38 |
Medcost Setting Facility Modifier None Typical Low $17.78 Median $22.39 Typical High $44.67 | Facility | None | $17.78 | $22.39 | $44.67 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $31.62 Typical High $32.36 | Professional | None | $31.62 | $31.62 | $32.36 |
Molina Setting Professional Modifier None Typical Low $1.66 Median $12.30 Typical High $21.88 | Professional | None | $1.66 | $12.30 | $21.88 |
United Setting Professional Modifier None Typical Low $12.02 Median $16.60 Typical High $25.12 | Professional | None | $12.02 | $16.60 | $25.12 |
United Setting Professional Modifier RR · Rental Typical Low $1.23 Median $1.70 Typical High $2.51 | Professional | RR · Rental | $1.23 | $1.70 | $2.51 |
United Setting Professional Modifier UE · Used equipment Typical Low $9.12 Median $12.59 Typical High $19.05 | Professional | UE · Used equipment | $9.12 | $12.59 | $19.05 |
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 $39.81 Median $39.81 Typical High $39.81 | Professional | KE · Bid item, non-bid base | $39.81 | $39.81 | $39.81 |
BCBS South Carolina Setting Professional Modifier KU · Bidding program group 3 Typical Low $37.15 Median $37.15 Typical High $37.15 | Professional | KU · Bidding program group 3 | $37.15 | $37.15 | $37.15 |
Where South Carolina sits
The same service costs 2.4 times more in Hawaii than in New Mexico. 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· 6th of 51
$33.11
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.