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 $4,570.88 Median $4,570.88 Typical High $4,570.88 | Facility | None | $4,570.88 | $4,570.88 | $4,570.88 |
Aetna Setting Professional Modifier None Typical Low $4,570.88 Median $4,570.88 Typical High $5,888.44 | Professional | None | $4,570.88 | $4,570.88 | $5,888.44 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $870.96 Median $954.99 Typical High $954.99 | Facility | RR · Rental | $870.96 | $954.99 | $954.99 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $954.99 Median $954.99 Typical High $954.99 | Professional | RR · Rental | $954.99 | $954.99 | $954.99 |
Cigna Setting Facility Modifier None Typical Low $5,495.41 Median $5,495.41 Typical High $5,495.41 | Facility | None | $5,495.41 | $5,495.41 | $5,495.41 |
Cigna Setting Professional Modifier None Typical Low $4,677.35 Median $5,495.41 Typical High $5,495.41 | Professional | None | $4,677.35 | $5,495.41 | $5,495.41 |
Medcost Setting Professional Modifier RR · Rental Typical Low $436.52 Median $436.52 Typical High $436.52 | Professional | RR · Rental | $436.52 | $436.52 | $436.52 |
Medcost Setting Facility Modifier None Typical Low $4,265.80 Median $4,897.79 Typical High $5,888.44 | Facility | None | $4,265.80 | $4,897.79 | $5,888.44 |
Medcost Setting Professional Modifier None Typical Low $6,309.57 Median $6,309.57 Typical High $6,606.93 | Professional | None | $6,309.57 | $6,309.57 | $6,606.93 |
United Setting Professional Modifier None Typical Low $1,949.84 Median $2,754.23 Typical High $4,570.88 | Professional | None | $1,949.84 | $2,754.23 | $4,570.88 |
United Setting Professional Modifier RR · Rental Typical Low $275.42 Median $416.87 Typical High $588.84 | Professional | RR · Rental | $275.42 | $416.87 | $588.84 |
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 $3,467.37 Median $3,467.37 Typical High $3,467.37 | Professional | UE · Used equipment | $3,467.37 | $3,467.37 | $3,467.37 |
Where South Carolina sits
The same service costs 11.5 times more in Kansas than in Montana. 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· 27th of 51
$4,571
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.