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 $48.98 Median $48.98 Typical High $48.98 | Facility | None | $48.98 | $48.98 | $48.98 |
Aetna Setting Professional Modifier None Typical Low $48.98 Median $48.98 Typical High $54.95 | Professional | None | $48.98 | $48.98 | $54.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $3,162.28 | Facility | None | $512.86 | $1,122.02 | $3,162.28 |
BCBS South Carolina Setting Professional Modifier None Typical Low $47.86 Median $223.87 Typical High $316.23 | Professional | None | $47.86 | $223.87 | $316.23 |
Cigna Setting Facility Modifier None Typical Low $263.03 Median $954.99 Typical High $1,905.46 | Facility | None | $263.03 | $954.99 | $1,905.46 |
Cigna Setting Professional Modifier None Typical Low $67.61 Median $173.78 Typical High $275.42 | Professional | None | $67.61 | $173.78 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Professional | None | $144.54 | $144.54 | $144.54 |
Medcost Setting Facility Modifier None Typical Low $48.98 Median $158.49 Typical High $891.25 | Facility | None | $48.98 | $158.49 | $891.25 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $218.78 Typical High $354.81 | Professional | None | $67.61 | $218.78 | $354.81 |
Molina Setting Professional Modifier None Typical Low $35.48 Median $45.71 Typical High $66.07 | Professional | None | $35.48 | $45.71 | $66.07 |
United Setting Facility Modifier None Typical Low $1,479.11 Median $1,778.28 Typical High $2,344.23 | Facility | None | $1,479.11 | $1,778.28 | $2,344.23 |
United Setting Professional Modifier None Typical Low $58.88 Median $104.71 Typical High $302.00 | Professional | None | $58.88 | $104.71 | $302.00 |
8 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 52 · Reduced service Typical Low $24.55 Median $24.55 Typical High $27.54 | Professional | 52 · Reduced service | $24.55 | $24.55 | $27.54 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $9.77 Median $9.77 Typical High $10.96 | Professional | 53 · Discontinued | $9.77 | $9.77 | $10.96 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $39.81 Median $39.81 Typical High $41.69 | Professional | FX · Film X-ray | $39.81 | $39.81 | $41.69 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $109.65 Typical High $177.83 | Professional | 51 · Multiple procedures | $42.66 | $109.65 | $177.83 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.98 Median $43.65 Typical High $70.79 | Professional | 80 · Assistant surgeon | $16.98 | $43.65 | $70.79 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $30.90 Typical High $50.12 | Professional | 81 · Minimal assistant surgeon | $12.02 | $30.90 | $50.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $30.90 Typical High $50.12 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $30.90 | $50.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $30.90 Typical High $50.12 | Professional | AS · PA/NP assist | $12.02 | $30.90 | $50.12 |
Where South Carolina sits
The same service costs 4.1 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· 3rd of 51
$174
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.