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 $70.79 Median $4,897.79 Typical High $21,877.62 | Facility | None | $70.79 | $4,897.79 | $21,877.62 |
Aetna Setting Professional Modifier None Typical Low $67.61 Median $93.33 Typical High $114.82 | Professional | None | $67.61 | $93.33 | $114.82 |
Ambetter Setting Professional Modifier None Typical Low $107.15 Median $107.15 Typical High $107.15 | Professional | None | $107.15 | $107.15 | $107.15 |
BCBS South Carolina Setting Facility Modifier None Typical Low $371.54 Median $912.01 Typical High $1,258.93 | Facility | None | $371.54 | $912.01 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $112.20 Typical High $213.80 | Professional | None | $50.12 | $112.20 | $213.80 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $851.14 Typical High $1,905.46 | Facility | None | $489.78 | $851.14 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $83.18 Median $114.82 Typical High $154.88 | Professional | None | $83.18 | $114.82 | $154.88 |
Medcost Setting Facility Modifier None Typical Low $70.79 Median $125.89 Typical High $173.78 | Facility | None | $70.79 | $125.89 | $173.78 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $120.23 Typical High $186.21 | Professional | None | $112.20 | $120.23 | $186.21 |
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 $426.58 Typical High $2,238.72 | Facility | None | $83.18 | $426.58 | $2,238.72 |
United Setting Professional Modifier None Typical Low $53.70 Median $89.13 Typical High $173.78 | Professional | None | $53.70 | $89.13 | $173.78 |
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 $53.70 Median $58.88 Typical High $85.11 | Professional | 54 · Surgery only | $53.70 | $58.88 | $85.11 |
Medcost Setting Professional Modifier 50 · Both sides Typical Low $177.83 Median $181.97 Typical High $275.42 | Professional | 50 · Both sides | $177.83 | $181.97 | $275.42 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $60.26 Median $60.26 Typical High $91.20 | Professional | 51 · Multiple procedures | $60.26 | $60.26 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $23.99 Median $24.55 Typical High $37.15 | Professional | 80 · Assistant surgeon | $23.99 | $24.55 | $37.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.60 Median $16.98 Typical High $25.70 | Professional | 81 · Minimal assistant surgeon | $16.60 | $16.98 | $25.70 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.60 Median $16.98 Typical High $25.70 | Professional | 82 · Assistant surgeon, no resident | $16.60 | $16.98 | $25.70 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.60 Median $16.98 Typical High $25.70 | Professional | AS · PA/NP assist | $16.60 | $16.98 | $25.70 |
Where South Carolina sits
The same service costs 3.6 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· 18th of 51
$115
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.