How much rates vary
Facilitymedian $646 · 10th to 90th $302 to $1,148Professionalmedian $407 · 10th to 90th $138 to $776
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 $190.55 Median $190.55 Typical High $660.69 | Facility | None | $190.55 | $190.55 | $660.69 |
Aetna Setting Professional Modifier None Typical Low $190.55 Median $190.55 Typical High $239.88 | Professional | None | $190.55 | $190.55 | $239.88 |
Ambetter Setting Professional Modifier None Typical Low $467.74 Median $467.74 Typical High $467.74 | Professional | None | $467.74 | $467.74 | $467.74 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $616.60 Typical High $1,122.02 | Facility | None | $363.08 | $616.60 | $1,122.02 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $186.21 Typical High $407.38 | Professional | None | $128.82 | $186.21 | $407.38 |
Cigna Setting Facility Modifier None Typical Low $707.95 Median $812.83 Typical High $1,412.54 | Facility | None | $707.95 | $812.83 | $1,412.54 |
Cigna Setting Professional Modifier None Typical Low $131.83 Median $331.13 Typical High $501.19 | Professional | None | $131.83 | $331.13 | $501.19 |
Medcost Setting Professional Modifier None Typical Low $446.68 Median $446.68 Typical High $446.68 | Professional | None | $446.68 | $446.68 | $446.68 |
Medcost Setting Facility Modifier None Typical Low $81.28 Median $208.93 Typical High $263.03 | Facility | None | $81.28 | $208.93 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $138.04 Median $213.80 Typical High $302.00 | Professional | None | $138.04 | $213.80 | $302.00 |
Molina Setting Professional Modifier None Typical Low $436.52 Median $660.69 Typical High $831.76 | Professional | None | $436.52 | $660.69 | $831.76 |
United Setting Facility Modifier None Typical Low $2,344.23 Median $2,818.38 Typical High $3,715.35 | Facility | None | $2,344.23 | $2,818.38 | $3,715.35 |
United Setting Professional Modifier None Typical Low $190.55 Median $263.03 Typical High $416.87 | Professional | None | $190.55 | $263.03 | $416.87 |
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 $93.33 Median $93.33 Typical High $114.82 | Professional | 52 · Reduced service | $93.33 | $93.33 | $114.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $38.02 Median $38.02 Typical High $45.71 | Professional | 53 · Discontinued | $38.02 | $38.02 | $45.71 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $151.36 Median $151.36 Typical High $181.97 | Professional | FX · Film X-ray | $151.36 | $151.36 | $181.97 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $69.18 Median $107.15 Typical High $199.53 | Professional | 51 · Multiple procedures | $69.18 | $107.15 | $199.53 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $27.54 Median $30.20 Typical High $81.28 | Professional | 80 · Assistant surgeon | $27.54 | $30.20 | $81.28 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $21.38 Typical High $56.23 | Professional | 81 · Minimal assistant surgeon | $19.50 | $21.38 | $56.23 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $21.38 Typical High $56.23 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $21.38 | $56.23 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $21.38 Typical High $56.23 | Professional | AS · PA/NP assist | $19.50 | $21.38 | $56.23 |
Where South Carolina sits
The same service costs 5.1 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· 21st of 51
$427
AK $933KY $182
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.