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 $9,549.93 Median $9,549.93 Typical High $9,549.93 | Facility | None | $9,549.93 | $9,549.93 | $9,549.93 |
Aetna Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $9,549.93 | Professional | None | $9,549.93 | $9,549.93 | $9,549.93 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $1,584.89 Median $1,778.28 Typical High $1,778.28 | Facility | RR · Rental | $1,584.89 | $1,778.28 | $1,778.28 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $1,778.28 Median $1,778.28 Typical High $1,778.28 | Professional | RR · Rental | $1,778.28 | $1,778.28 | $1,778.28 |
Cigna Setting Facility Modifier None Typical Low $9,120.11 Median $10,715.19 Typical High $10,715.19 | Facility | None | $9,120.11 | $10,715.19 | $10,715.19 |
Cigna Setting Professional Modifier None Typical Low $9,120.11 Median $10,715.19 Typical High $10,715.19 | Professional | None | $9,120.11 | $10,715.19 | $10,715.19 |
Medcost Setting Professional Modifier RR · Rental Typical Low $676.08 Median $676.08 Typical High $676.08 | Professional | RR · Rental | $676.08 | $676.08 | $676.08 |
Medcost Setting Facility Modifier None Typical Low $7,943.28 Median $10,000.00 Typical High $12,302.69 | Facility | None | $7,943.28 | $10,000.00 | $12,302.69 |
Medcost Setting Professional Modifier None Typical Low $9,549.93 Median $9,549.93 Typical High $10,232.93 | Professional | None | $9,549.93 | $9,549.93 | $10,232.93 |
United Setting Professional Modifier None Typical Low $3,388.44 Median $4,897.79 Typical High $6,760.83 | Professional | None | $3,388.44 | $4,897.79 | $6,760.83 |
United Setting Professional Modifier RR · Rental Typical Low $512.86 Median $707.95 Typical High $912.01 | Professional | RR · Rental | $512.86 | $707.95 | $912.01 |
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 $7,244.36 Median $7,244.36 Typical High $7,244.36 | Professional | UE · Used equipment | $7,244.36 | $7,244.36 | $7,244.36 |
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· 18th of 51
$9,550
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.