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 $63.10 Median $63.10 Typical High $72.44 | Facility | None | $63.10 | $63.10 | $72.44 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $72.44 Typical High $91.20 | Professional | None | $63.10 | $72.44 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None | $72.44 | $72.44 | $91.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $39.81 Median $60.26 Typical High $109.65 | Facility | None | $39.81 | $60.26 | $109.65 |
BCBS South Carolina Setting Professional Modifier None Typical Low $66.07 Median $81.28 Typical High $91.20 | Professional | None | $66.07 | $81.28 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $151.36 Median $234.42 Typical High $478.63 | Facility | None | $151.36 | $234.42 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $36.31 Median $41.69 Typical High $107.15 | Professional | None | $36.31 | $41.69 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $67.61 Median $79.43 Typical High $223.87 | Facility | None | $67.61 | $79.43 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $125.89 Typical High $131.83 | Professional | None | $85.11 | $125.89 | $131.83 |
Molina Setting Professional Modifier None Typical Low $83.18 Median $97.72 Typical High $144.54 | Professional | None | $83.18 | $97.72 | $144.54 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $50.12 Median $87.10 Typical High $199.53 | Professional | None | $50.12 | $87.10 | $199.53 |
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 52 · Reduced service Typical Low $30.90 Median $36.31 Typical High $38.02 | Professional | 52 · Reduced service | $30.90 | $36.31 | $38.02 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.59 Median $14.45 Typical High $15.14 | Professional | 53 · Discontinued | $12.59 | $14.45 | $15.14 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $42.66 Median $66.07 Typical High $79.43 | Professional | 51 · Multiple procedures | $42.66 | $66.07 | $79.43 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $17.38 Median $26.30 Typical High $31.62 | Professional | 80 · Assistant surgeon | $17.38 | $26.30 | $31.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $12.02 Median $18.20 Typical High $22.39 | Professional | 81 · Minimal assistant surgeon | $12.02 | $18.20 | $22.39 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $12.02 Median $18.20 Typical High $22.39 | Professional | 82 · Assistant surgeon, no resident | $12.02 | $18.20 | $22.39 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $12.02 Median $18.20 Typical High $22.39 | Professional | AS · PA/NP assist | $12.02 | $18.20 | $22.39 |
Where South Carolina sits
The same service costs 4.5 times more in Alaska than in Alabama. 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· 47th of 51
$72.44
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.