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 $602.56 Median $5,623.41 Typical High $21,877.62 | Facility | None | $602.56 | $5,623.41 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $446.68 Median $602.56 Typical High $602.56 | Professional | None | $446.68 | $602.56 | $602.56 |
Ambetter Setting Professional Modifier None Typical Low $407.38 Median $407.38 Typical High $407.38 | Professional | None | $407.38 | $407.38 | $407.38 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,659.59 Median $3,630.78 Typical High $10,715.19 | Facility | None | $1,659.59 | $3,630.78 | $10,715.19 |
BCBS South Carolina Setting Professional Modifier None Typical Low $371.54 Median $436.52 Typical High $588.84 | Professional | None | $371.54 | $436.52 | $588.84 |
Cigna Setting Facility Modifier None Typical Low $602.56 Median $2,630.27 Typical High $4,168.69 | Facility | None | $602.56 | $2,630.27 | $4,168.69 |
Cigna Setting Professional Modifier None Typical Low $489.78 Median $512.86 Typical High $1,000.00 | Professional | None | $489.78 | $512.86 | $1,000.00 |
Medcost Setting Professional Modifier None Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | None | $891.25 | $891.25 | $891.25 |
Medcost Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $1,778.28 | Facility | None | $501.19 | $1,318.26 | $1,778.28 |
Medcost Setting Professional Modifier None Typical Low $478.63 Median $537.03 Typical High $616.60 | Professional | None | $478.63 | $537.03 | $616.60 |
Molina Setting Professional Modifier None Typical Low $398.11 Median $512.86 Typical High $776.25 | Professional | None | $398.11 | $512.86 | $776.25 |
United Setting Facility Modifier None Typical Low $1,023.29 Median $3,311.31 Typical High $19,498.45 | Facility | None | $1,023.29 | $3,311.31 | $19,498.45 |
United Setting Professional Modifier None Typical Low $436.52 Median $524.81 Typical High $933.25 | Professional | None | $436.52 | $524.81 | $933.25 |
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 $338.84 Median $446.68 Typical High $446.68 | Professional | 54 · Surgery only | $338.84 | $446.68 | $446.68 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $239.88 Median $288.40 Typical High $407.38 | Professional | 51 · Multiple procedures | $239.88 | $288.40 | $407.38 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $95.50 Median $114.82 Typical High $165.96 | Professional | 80 · Assistant surgeon | $95.50 | $114.82 | $165.96 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | 81 · Minimal assistant surgeon | $66.07 | $81.28 | $114.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | 82 · Assistant surgeon, no resident | $66.07 | $81.28 | $114.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $66.07 Median $81.28 Typical High $114.82 | Professional | AS · PA/NP assist | $66.07 | $81.28 | $114.82 |
Where South Carolina sits
The same service costs 4.3 times more in Alaska than in New York. 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
$603
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.