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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Facility Modifier None Typical Low $169.82 Median $295.12 Typical High $501.19 | Facility | None | $169.82 | $295.12 | $501.19 |
Cigna Setting Facility Modifier None Typical Low $56.23 Median $100.00 Typical High $489.78 | Facility | None | $56.23 | $100.00 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $53.70 Median $64.57 Typical High $77.62 | Professional | None | $53.70 | $64.57 | $77.62 |
Medcost Setting Professional Modifier None Typical Low $33.88 Median $44.67 Typical High $44.67 | Professional | None | $33.88 | $44.67 | $44.67 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
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 |
5 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 51 · Multiple procedures Typical Low $16.98 Median $22.39 Typical High $22.39 | Professional | 51 · Multiple procedures | $16.98 | $22.39 | $22.39 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.76 Median $8.91 Typical High $8.91 | Professional | 80 · Assistant surgeon | $6.76 | $8.91 | $8.91 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.68 Median $6.31 Typical High $6.31 | Professional | 81 · Minimal assistant surgeon | $4.68 | $6.31 | $6.31 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.68 Median $6.31 Typical High $6.31 | Professional | 82 · Assistant surgeon, no resident | $4.68 | $6.31 | $6.31 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.68 Median $6.31 Typical High $6.31 | Professional | AS · PA/NP assist | $4.68 | $6.31 | $6.31 |
Where South Carolina sits
The same service costs 83.2 times more in Colorado than in Michigan. 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· 33rd of 51
$204
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.