How much rates vary
Facilitymedian $389 · 10th to 90th $141 to $708Professionalmedian $115 · 10th to 90th $76 to $191
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 $69.18 Median $85.11 Typical High $134.90 | Facility | None | $69.18 | $85.11 | $134.90 |
Aetna Setting Professional Modifier None Typical Low $57.54 Median $69.18 Typical High $131.83 | Professional | None | $57.54 | $69.18 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $85.11 Median $97.72 Typical High $109.65 | Professional | None | $85.11 | $97.72 | $109.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $229.09 Median $398.11 Typical High $707.95 | Facility | None | $229.09 | $398.11 | $707.95 |
BCBS South Carolina Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $190.55 | Professional | None | $85.11 | $91.20 | $190.55 |
Cigna Setting Facility Modifier None Typical Low $354.81 Median $416.87 Typical High $831.76 | Facility | None | $354.81 | $416.87 | $831.76 |
Cigna Setting Professional Modifier None Typical Low $74.13 Median $87.10 Typical High $169.82 | Professional | None | $74.13 | $87.10 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $74.13 | Professional | None | $74.13 | $74.13 | $74.13 |
Medcost Setting Facility Modifier None Typical Low $47.86 Median $102.33 Typical High $407.38 | Facility | None | $47.86 | $102.33 | $407.38 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $112.20 Typical High $181.97 | Professional | None | $74.13 | $112.20 | $181.97 |
Molina Setting Professional Modifier None Typical Low $97.72 Median $144.54 Typical High $194.98 | Professional | None | $97.72 | $144.54 | $194.98 |
United Setting Facility Modifier None Typical Low $562.34 Median $691.83 Typical High $891.25 | Facility | None | $562.34 | $691.83 | $891.25 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $154.88 | Professional | None | $63.10 | $91.20 | $154.88 |
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 $34.67 Median $34.67 Typical High $38.90 | Professional | 52 · Reduced service | $34.67 | $34.67 | $38.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $13.80 Median $13.80 Typical High $15.49 | Professional | 53 · Discontinued | $13.80 | $13.80 | $15.49 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $54.95 Median $54.95 Typical High $61.66 | Professional | FX · Film X-ray | $54.95 | $54.95 | $61.66 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $70.79 Typical High $91.20 | Professional | 51 · Multiple procedures | $37.15 | $70.79 | $91.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $29.51 Typical High $36.31 | Professional | 80 · Assistant surgeon | $14.79 | $29.51 | $36.31 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $20.42 Typical High $25.12 | Professional | 81 · Minimal assistant surgeon | $10.23 | $20.42 | $25.12 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $20.42 Typical High $25.12 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $20.42 | $25.12 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $20.42 Typical High $25.12 | Professional | AS · PA/NP assist | $10.23 | $20.42 | $25.12 |
Where South Carolina sits
The same service costs 4.5 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· 15th of 51
$138
AK $363KY $81.28
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.