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 $588.84 Median $5,623.41 Typical High $21,877.62 | Facility | None | $588.84 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $478.63 Median $588.84 Typical High $588.84 | Professional | None | $478.63 | $588.84 | $588.84 |
BCBS South Carolina Setting Facility Modifier None Typical Low $691.83 Median $2,344.23 Typical High $10,232.93 | Facility | None | $691.83 | $2,344.23 | $10,232.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $398.11 Median $457.09 Typical High $489.78 | Professional | None | $398.11 | $457.09 | $489.78 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $3,311.31 Typical High $4,677.35 | Facility | None | $602.56 | $3,311.31 | $4,677.35 |
Cigna Setting Professional Modifier None Typical Low $512.86 Median $512.86 Typical High $794.33 | Professional | None | $512.86 | $512.86 | $794.33 |
Medcost Setting Professional Modifier None Typical Low $676.08 Median $724.44 Typical High $1,096.48 | Professional | None | $676.08 | $724.44 | $1,096.48 |
Medcost Setting Facility Modifier None Typical Low $524.81 Median $724.44 Typical High $1,348.96 | Facility | None | $524.81 | $724.44 | $1,348.96 |
Medcost Setting Professional Modifier None Typical Low $562.34 Median $602.56 Typical High $676.08 | Professional | None | $562.34 | $602.56 | $676.08 |
Molina Setting Professional Modifier None Typical Low $416.87 Median $537.03 Typical High $812.83 | Professional | None | $416.87 | $537.03 | $812.83 |
United Setting Facility Modifier None Typical Low $851.14 Median $2,511.89 Typical High $14,791.08 | Facility | None | $851.14 | $2,511.89 | $14,791.08 |
United Setting Professional Modifier None Typical Low $407.38 Median $489.78 Typical High $891.25 | Professional | None | $407.38 | $489.78 | $891.25 |
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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $354.81 Median $436.52 Typical High $436.52 | Professional | 54 · Surgery only | $354.81 | $436.52 | $436.52 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $302.00 Median $309.03 Typical High $354.81 | Professional | 51 · Multiple procedures | $302.00 | $309.03 | $354.81 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $120.23 Median $123.03 Typical High $141.25 | Professional | 80 · Assistant surgeon | $120.23 | $123.03 | $141.25 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $85.11 Median $87.10 Typical High $97.72 | Professional | 81 · Minimal assistant surgeon | $85.11 | $87.10 | $97.72 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $85.11 Median $87.10 Typical High $97.72 | Professional | 82 · Assistant surgeon, no resident | $85.11 | $87.10 | $97.72 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $85.11 Median $87.10 Typical High $97.72 | Professional | AS · PA/NP assist | $85.11 | $87.10 | $97.72 |
Where South Carolina sits
The same service costs 4.6 times more in Alaska than in Texas. 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· 36th of 51
$525
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.