How much rates vary
Facilitymedian $525 · 10th to 90th $89 to $1,023Professionalmedian $83 · 10th to 90th $66 to $105
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 $66.07 Median $89.13 Typical High $89.13 | Facility | None | $66.07 | $89.13 | $89.13 |
Aetna Setting Professional Modifier None Typical Low $66.07 Median $75.86 Typical High $93.33 | Professional | None | $66.07 | $75.86 | $93.33 |
Ambetter Setting Professional Modifier None Typical Low $74.13 Median $74.13 Typical High $97.72 | Professional | None | $74.13 | $74.13 | $97.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $380.19 Median $549.54 Typical High $1,071.52 | Facility | None | $380.19 | $549.54 | $1,071.52 |
BCBS South Carolina Setting Professional Modifier None Typical Low $97.72 Median $104.71 Typical High $104.71 | Professional | None | $97.72 | $104.71 | $104.71 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $47.86 Median $69.18 Typical High $109.65 | Professional | 29 | $47.86 | $69.18 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $67.61 Typical High $104.71 | Professional | None | $54.95 | $67.61 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $97.72 Typical High $275.42 | Facility | None | $89.13 | $97.72 | $275.42 |
Medcost Setting Professional Modifier None Typical Low $61.66 Median $79.43 Typical High $131.83 | Professional | None | $61.66 | $79.43 | $131.83 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $128.82 Typical High $194.98 | Professional | None | $100.00 | $128.82 | $194.98 |
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 $83.18 Median $83.18 Typical High $112.20 | Professional | None | $83.18 | $83.18 | $112.20 |
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 $89.13 Median $89.13 Typical High $89.13 | Facility | AF · Specialist physician | $89.13 | $89.13 | $89.13 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $66.07 Median $66.07 Typical High $67.61 | Facility | HO · Master's level | $66.07 | $66.07 | $67.61 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $75.86 Median $75.86 Typical High $75.86 | Facility | TD · Registered nurse | $75.86 | $75.86 | $75.86 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $74.13 Median $79.43 Typical High $79.43 | Professional | HO · Master's level | $74.13 | $79.43 | $79.43 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $30.90 Median $40.74 Typical High $70.79 | Professional | 51 · Multiple procedures | $30.90 | $40.74 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $12.30 Median $16.22 Typical High $28.18 | Professional | 80 · Assistant surgeon | $12.30 | $16.22 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $8.71 Median $11.48 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $8.71 | $11.48 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $8.71 Median $11.48 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $8.71 | $11.48 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $8.71 Median $11.48 Typical High $19.50 | Professional | AS · PA/NP assist | $8.71 | $11.48 | $19.50 |
Where South Carolina sits
The same service costs 1.8 times more in Alaska than in New Mexico. 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· 45th of 51
$83.18
AK $129NM $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.