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 $39.81 Median $4,897.79 Typical High $21,877.62 | Facility | None | $39.81 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $39.81 Median $51.29 Typical High $70.79 | Professional | None | $39.81 | $51.29 | $70.79 |
Ambetter Setting Professional Modifier None Typical Low $44.67 Median $70.79 Typical High $89.13 | Professional | None | $44.67 | $70.79 | $89.13 |
BCBS South Carolina Setting Facility Modifier None Typical Low $389.05 Median $676.08 Typical High $1,174.90 | Facility | None | $389.05 | $676.08 | $1,174.90 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $57.54 Typical High $66.07 | Professional | None | $29.51 | $57.54 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $26.30 Median $50.12 Typical High $549.54 | Facility | None | $26.30 | $50.12 | $549.54 |
Cigna Setting Professional Modifier None Typical Low $47.86 Median $63.10 Typical High $81.28 | Professional | None | $47.86 | $63.10 | $81.28 |
Medcost Setting Facility Modifier None Typical Low $25.70 Median $37.15 Typical High $64.57 | Facility | None | $25.70 | $37.15 | $64.57 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $63.10 Typical High $66.07 | Professional | None | $57.54 | $63.10 | $66.07 |
Molina Setting Professional Modifier None Typical Low $64.57 Median $79.43 Typical High $117.49 | Professional | None | $64.57 | $79.43 | $117.49 |
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 $30.90 Median $46.77 Typical High $85.11 | Professional | None | $30.90 | $46.77 | $85.11 |
7 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 $30.20 Median $30.90 Typical High $43.65 | Professional | 54 · Surgery only | $30.20 | $30.90 | $43.65 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $95.50 Median $95.50 Typical High $131.83 | Professional | 50 · Both sides | $95.50 | $95.50 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $31.62 Median $31.62 Typical High $44.67 | Professional | 51 · Multiple procedures | $31.62 | $31.62 | $44.67 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.59 Median $12.88 Typical High $17.78 | Professional | 80 · Assistant surgeon | $12.59 | $12.88 | $17.78 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | 81 · Minimal assistant surgeon | $8.91 | $8.91 | $12.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | 82 · Assistant surgeon, no resident | $8.91 | $8.91 | $12.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.91 Median $8.91 Typical High $12.30 | Professional | AS · PA/NP assist | $8.91 | $8.91 | $12.30 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Kentucky. 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· 20th of 51
$58.88
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.