How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). 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 $31.62 Median $36.31 Typical High $125.89 | Facility | None | $31.62 | $36.31 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $31.62 Median $72.44 Typical High $100.00 | Professional | None | $31.62 | $72.44 | $100.00 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
BCBS South Carolina Setting Facility Modifier None Typical Low $158.49 Median $275.42 Typical High $489.78 | Facility | None | $158.49 | $275.42 | $489.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $20.89 Median $64.57 Typical High $97.72 | Professional | None | $20.89 | $64.57 | $97.72 |
Cigna Setting Facility Modifier None Typical Low $70.79 Median $79.43 Typical High $588.84 | Facility | None | $70.79 | $79.43 | $588.84 |
Cigna Setting Professional Modifier None Typical Low $38.02 Median $77.62 Typical High $123.03 | Professional | None | $38.02 | $77.62 | $123.03 |
Medcost Setting Facility Modifier None Typical Low $31.62 Median $91.20 Typical High $112.20 | Facility | None | $31.62 | $91.20 | $112.20 |
Medcost Setting Professional Modifier None Typical Low $79.43 Median $109.65 Typical High $117.49 | Professional | None | $79.43 | $109.65 | $117.49 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $173.78 | Professional | None | $95.50 | $117.49 | $173.78 |
United Setting Facility Modifier None Typical Low $83.18 Median $446.68 Typical High $2,238.72 | Facility | None | $83.18 | $446.68 | $2,238.72 |
United Setting Professional Modifier None Typical Low $23.99 Median $64.57 Typical High $134.90 | Professional | None | $23.99 | $64.57 | $134.90 |
6 more rates 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 50 · Both sides Typical Low $117.49 Median $165.96 Typical High $234.42 | Professional | 50 · Both sides | $117.49 | $165.96 | $234.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $39.81 Median $54.95 Typical High $77.62 | Professional | 51 · Multiple procedures | $39.81 | $54.95 | $77.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.85 Median $21.88 Typical High $30.90 | Professional | 80 · Assistant surgeon | $15.85 | $21.88 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.96 Median $15.49 Typical High $21.88 | Professional | 81 · Minimal assistant surgeon | $10.96 | $15.49 | $21.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.96 Median $15.49 Typical High $21.88 | Professional | 82 · Assistant surgeon, no resident | $10.96 | $15.49 | $21.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.96 Median $15.49 Typical High $21.88 | Professional | AS · PA/NP assist | $10.96 | $15.49 | $21.88 |
Where South Carolina sits
The same service costs 4.2 times more in Alaska than in Virginia. 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· 21st of 51
$83.18
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.