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 $3,715.35 Median $3,715.35 Typical High $3,715.35 | Facility | None | $3,715.35 | $3,715.35 | $3,715.35 |
Aetna Setting Professional Modifier None Typical Low $3,715.35 Median $3,715.35 Typical High $3,715.35 | Professional | None | $3,715.35 | $3,715.35 | $3,715.35 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $707.95 Median $776.25 Typical High $776.25 | Facility | RR · Rental | $707.95 | $776.25 | $776.25 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $776.25 Median $776.25 Typical High $776.25 | Professional | RR · Rental | $776.25 | $776.25 | $776.25 |
Cigna Setting Facility Modifier None Typical Low $4,265.80 Median $4,265.80 Typical High $4,265.80 | Facility | None | $4,265.80 | $4,265.80 | $4,265.80 |
Cigna Setting Professional Modifier None Typical Low $3,630.78 Median $4,265.80 Typical High $4,265.80 | Professional | None | $3,630.78 | $4,265.80 | $4,265.80 |
Medcost Setting Professional Modifier RR · Rental Typical Low $363.08 Median $363.08 Typical High $363.08 | Professional | RR · Rental | $363.08 | $363.08 | $363.08 |
Medcost Setting Facility Modifier None Typical Low $3,548.13 Median $3,890.45 Typical High $4,677.35 | Facility | None | $3,548.13 | $3,890.45 | $4,677.35 |
Medcost Setting Professional Modifier None Typical Low $5,248.07 Median $5,248.07 Typical High $5,495.41 | Professional | None | $5,248.07 | $5,248.07 | $5,495.41 |
Molina Setting Professional Modifier None Typical Low $181.97 Median $1,819.70 Typical High $3,019.95 | Professional | None | $181.97 | $1,819.70 | $3,019.95 |
United Setting Professional Modifier None Typical Low $1,513.56 Median $2,238.72 Typical High $3,801.89 | Professional | None | $1,513.56 | $2,238.72 | $3,801.89 |
United Setting Professional Modifier RR · Rental Typical Low $218.78 Median $331.13 Typical High $478.63 | Professional | RR · Rental | $218.78 | $331.13 | $478.63 |
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 $2,754.23 Median $2,754.23 Typical High $2,754.23 | Professional | UE · Used equipment | $2,754.23 | $2,754.23 | $2,754.23 |
Where South Carolina sits
The same service costs 11.0 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· 25th of 51
$3,715
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.