How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $141.25 Median $147.91 Typical High $229.09 | Professional | None | $141.25 | $147.91 | $229.09 |
Ambetter Setting Professional Modifier None Typical Low $169.82 Median $213.80 Typical High $302.00 | Professional | None | $169.82 | $213.80 | $302.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $436.52 Median $436.52 Typical High $436.52 | Facility | None | $436.52 | $436.52 | $436.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $162.18 Median $162.18 Typical High $288.40 | Professional | None | $162.18 | $162.18 | $288.40 |
Cigna Setting Facility Modifier None Typical Low $1,659.59 Median $1,659.59 Typical High $1,659.59 | Facility | None | $1,659.59 | $1,659.59 | $1,659.59 |
Cigna Setting Professional Modifier None Typical Low $151.36 Median $213.80 Typical High $338.84 | Professional | None | $151.36 | $213.80 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $316.23 Median $316.23 Typical High $316.23 | Professional | None | $316.23 | $316.23 | $316.23 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $158.49 Typical High $467.74 | Facility | None | $141.25 | $158.49 | $467.74 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $269.15 Typical High $371.54 | Professional | None | $218.78 | $269.15 | $371.54 |
Molina Setting Professional Modifier None Typical Low $173.78 Median $263.03 Typical High $323.59 | Professional | None | $173.78 | $263.03 | $323.59 |
United Setting Professional Modifier None Typical Low $144.54 Median $199.53 Typical High $323.59 | Professional | None | $144.54 | $199.53 | $323.59 |
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 $70.79 Median $70.79 Typical High $83.18 | Professional | 52 · Reduced service | $70.79 | $70.79 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $28.18 Median $28.18 Typical High $33.11 | Professional | 53 · Discontinued | $28.18 | $28.18 | $33.11 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $112.20 Median $112.20 Typical High $131.83 | Professional | FX · Film X-ray | $112.20 | $112.20 | $131.83 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $114.82 Median $134.90 Typical High $186.21 | Professional | 51 · Multiple procedures | $114.82 | $134.90 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $45.71 Median $53.70 Typical High $75.86 | Professional | 80 · Assistant surgeon | $45.71 | $53.70 | $75.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $31.62 Median $37.15 Typical High $52.48 | Professional | 81 · Minimal assistant surgeon | $31.62 | $37.15 | $52.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $31.62 Median $37.15 Typical High $52.48 | Professional | 82 · Assistant surgeon, no resident | $31.62 | $37.15 | $52.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $31.62 Median $37.15 Typical High $52.48 | Professional | AS · PA/NP assist | $31.62 | $37.15 | $52.48 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Florida. 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· 32nd of 51
$204
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.