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 $10,000.00 Median $10,000.00 Typical High $10,000.00 | Facility | None | $10,000.00 | $10,000.00 | $10,000.00 |
Aetna Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $11,481.54 | Professional | None | $10,000.00 | $10,000.00 | $11,481.54 |
BCBS South Carolina Setting Facility Modifier RR · Rental Typical Low $1,659.59 Median $1,862.09 Typical High $1,862.09 | Facility | RR · Rental | $1,659.59 | $1,862.09 | $1,862.09 |
BCBS South Carolina Setting Professional Modifier RR · Rental Typical Low $1,819.70 Median $1,862.09 Typical High $1,862.09 | Professional | RR · Rental | $1,819.70 | $1,862.09 | $1,862.09 |
Cigna Setting Facility Modifier None Typical Low $9,549.93 Median $11,220.18 Typical High $11,220.18 | Facility | None | $9,549.93 | $11,220.18 | $11,220.18 |
Cigna Setting Professional Modifier None Typical Low $9,549.93 Median $11,220.18 Typical High $11,220.18 | Professional | None | $9,549.93 | $11,220.18 | $11,220.18 |
Medcost Setting Professional Modifier RR · Rental Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | RR · Rental | $707.95 | $707.95 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $8,317.64 Median $10,471.29 Typical High $12,882.50 | Facility | None | $8,317.64 | $10,471.29 | $12,882.50 |
Medcost Setting Professional Modifier None Typical Low $10,000.00 Median $10,000.00 Typical High $10,471.29 | Professional | None | $10,000.00 | $10,000.00 | $10,471.29 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $3,548.13 Typical High $6,309.57 | Professional | None | $436.52 | $3,548.13 | $6,309.57 |
United Setting Professional Modifier None Typical Low $3,548.13 Median $5,128.61 Typical High $7,244.36 | Professional | None | $3,548.13 | $5,128.61 | $7,244.36 |
United Setting Professional Modifier RR · Rental Typical Low $537.03 Median $741.31 Typical High $977.24 | Professional | RR · Rental | $537.03 | $741.31 | $977.24 |
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 $7,585.78 Median $7,585.78 Typical High $7,585.78 | Professional | UE · Used equipment | $7,585.78 | $7,585.78 | $7,585.78 |
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· 30th of 51
$10,000
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.