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 $5,888.44 Median $5,888.44 Typical High $5,888.44 | Facility | None | $5,888.44 | $5,888.44 | $5,888.44 |
Aetna Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,606.93 | Professional | None | $5,888.44 | $5,888.44 | $6,606.93 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $977.24 Median $1,096.48 Typical High $1,096.48 | Facility | RR · Rental | $977.24 | $1,096.48 | $1,096.48 |
BCBS South Carolina Setting Professional Modifier None Typical Low $3,801.89 Median $4,677.35 Typical High $4,677.35 | Professional | None | $3,801.89 | $4,677.35 | $4,677.35 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $380.19 Median $467.74 Typical High $1,096.48 | Professional | RR · Rental | $380.19 | $467.74 | $1,096.48 |
Cigna Setting Facility Modifier None Typical Low $6,606.93 Median $6,606.93 Typical High $6,606.93 | Facility | None | $6,606.93 | $6,606.93 | $6,606.93 |
Cigna Setting Professional Modifier None Typical Low $5,495.41 Median $6,606.93 Typical High $6,606.93 | Professional | None | $5,495.41 | $6,606.93 | $6,606.93 |
Medcost Setting Professional Modifier RR · Rental Typical Low $416.87 Median $416.87 Typical High $416.87 | Professional | RR · Rental | $416.87 | $416.87 | $416.87 |
Medcost Setting Facility Modifier None Typical Low $4,897.79 Median $6,165.95 Typical High $7,585.78 | Facility | None | $4,897.79 | $6,165.95 | $7,585.78 |
Medcost Setting Professional Modifier None Typical Low $5,888.44 Median $5,888.44 Typical High $6,025.60 | Professional | None | $5,888.44 | $5,888.44 | $6,025.60 |
Molina Setting Professional Modifier None Typical Low $257.04 Median $1,862.09 Typical High $3,467.37 | Professional | None | $257.04 | $1,862.09 | $3,467.37 |
United Setting Professional Modifier None Typical Low $2,089.30 Median $3,019.95 Typical High $4,265.80 | Professional | None | $2,089.30 | $3,019.95 | $4,265.80 |
United Setting Professional Modifier RR · Rental Typical Low $316.23 Median $426.58 Typical High $562.34 | Professional | RR · Rental | $316.23 | $426.58 | $562.34 |
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 $4,365.16 Median $4,365.16 Typical High $4,365.16 | Professional | UE · Used equipment | $4,365.16 | $4,365.16 | $4,365.16 |
Where South Carolina sits
The same service costs 11.0 times more in North Dakota than in Mississippi. 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· 43rd of 51
$4,677
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.