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 $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Aetna Setting Professional Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,698.24 | Professional | None | $1,659.59 | $1,659.59 | $1,698.24 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $316.23 Median $316.23 Typical High $316.23 | Facility | RR · Rental | $316.23 | $316.23 | $316.23 |
BCBS South Carolina Setting Professional Modifier None Typical Low $2,511.89 Median $3,162.28 Typical High $3,162.28 | Professional | None | $2,511.89 | $3,162.28 | $3,162.28 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $251.19 Median $316.23 Typical High $316.23 | Professional | RR · Rental | $251.19 | $316.23 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $4,365.16 Median $4,365.16 Typical High $4,365.16 | Facility | None | $4,365.16 | $4,365.16 | $4,365.16 |
Cigna Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,897.79 | Professional | None | $3,890.45 | $3,890.45 | $4,897.79 |
Medcost Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $2,691.53 | Facility | None | $1,659.59 | $1,659.59 | $2,691.53 |
Medcost Setting Professional Modifier None Typical Low $3,890.45 Median $3,890.45 Typical High $4,073.80 | Professional | None | $3,890.45 | $3,890.45 | $4,073.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None Typical Low $1,000.00 Median $1,548.82 Typical High $3,311.31 | Professional | None | $1,000.00 | $1,548.82 | $3,311.31 |
United Setting Professional Modifier RR · Rental Typical Low $151.36 Median $199.53 Typical High $295.12 | Professional | RR · Rental | $151.36 | $199.53 | $295.12 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier UE · Used equipment Typical Low $1,380.38 Median $1,380.38 Typical High $1,380.38 | Professional | UE · Used equipment | $1,380.38 | $1,380.38 | $1,380.38 |
Where South Carolina sits
The same service costs 19.5 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· 20th of 51
$3,162
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.