How much rates vary
Facilitymedian $380 · 10th to 90th $132 to $741Professionalmedian $117 · 10th to 90th $98 to $200
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 $87.10 Median $112.20 Typical High $131.83 | Facility | None | $87.10 | $112.20 | $131.83 |
Aetna Setting Professional Modifier None Typical Low $87.10 Median $112.20 Typical High $131.83 | Professional | None | $87.10 | $112.20 | $131.83 |
Ambetter Setting Professional Modifier None Typical Low $109.65 Median $128.82 Typical High $128.82 | Professional | None | $109.65 | $128.82 | $128.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $741.31 | Facility | None | $263.03 | $446.68 | $741.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $128.82 Median $158.49 Typical High $158.49 | Professional | None | $128.82 | $158.49 | $158.49 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $72.44 Median $112.20 Typical High $141.25 | Professional | 29 | $72.44 | $112.20 | $141.25 |
Cigna Setting Professional Modifier None Typical Low $97.72 Median $223.87 Typical High $223.87 | Professional | None | $97.72 | $223.87 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $128.82 Median $144.54 Typical High $363.08 | Facility | None | $128.82 | $144.54 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $112.20 Median $158.49 Typical High $165.96 | Professional | None | $112.20 | $158.49 | $165.96 |
Molina Setting Professional Modifier None Typical Low $162.18 Median $199.53 Typical High $323.59 | Professional | None | $162.18 | $199.53 | $323.59 |
United Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,174.90 | Facility | None | $741.31 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $100.00 Median $100.00 Typical High $147.91 | Professional | None | $100.00 | $100.00 | $147.91 |
9 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 Facility Modifier AF · Specialist physician Typical Low $117.49 Median $117.49 Typical High $131.83 | Facility | AF · Specialist physician | $117.49 | $117.49 | $131.83 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $87.10 Median $87.10 Typical High $97.72 | Facility | HO · Master's level | $87.10 | $87.10 | $97.72 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $100.00 Median $100.00 Typical High $112.20 | Facility | TD · Registered nurse | $100.00 | $100.00 | $112.20 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $95.50 Median $95.50 Typical High $95.50 | Professional | HO · Master's level | $95.50 | $95.50 | $95.50 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $56.23 Median $79.43 Typical High $102.33 | Professional | 51 · Multiple procedures | $56.23 | $79.43 | $102.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $22.91 Median $31.62 Typical High $41.69 | Professional | 80 · Assistant surgeon | $22.91 | $31.62 | $41.69 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.85 Median $21.88 Typical High $28.84 | Professional | 81 · Minimal assistant surgeon | $15.85 | $21.88 | $28.84 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.85 Median $21.88 Typical High $28.84 | Professional | 82 · Assistant surgeon, no resident | $15.85 | $21.88 | $28.84 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.85 Median $21.88 Typical High $28.84 | Professional | AS · PA/NP assist | $15.85 | $21.88 | $28.84 |
Where South Carolina sits
The same service costs 1.7 times more in North Dakota than in Ohio. 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· 41st of 51
$117
ND $186OH $107
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.