How much rates vary
Facilitymedian $525 · 10th to 90th $93 to $1,047Professionalmedian $87 · 10th to 90th $69 to $112
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 $79.43 Typical High $102.33 | Facility | None | $69.18 | $79.43 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | None | $69.18 | $79.43 | $97.72 |
Ambetter Setting Professional Modifier None Typical Low $75.86 Median $89.13 Typical High $199.53 | Professional | None | $75.86 | $89.13 | $199.53 |
BCBS South Carolina Setting Facility Modifier None Typical Low $363.08 Median $524.81 Typical High $1,047.13 | Facility | None | $363.08 | $524.81 | $1,047.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $109.65 Typical High $109.65 | Professional | None | $102.33 | $109.65 | $109.65 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $54.95 Median $100.00 Typical High $109.65 | Professional | 29 | $54.95 | $100.00 | $109.65 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $70.79 Typical High $117.49 | Professional | None | $57.54 | $70.79 | $117.49 |
Medcost Setting Facility Modifier None Typical Low $93.33 Median $112.20 Typical High $288.40 | Facility | None | $93.33 | $112.20 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $75.86 Median $85.11 Typical High $138.04 | Professional | None | $75.86 | $85.11 | $138.04 |
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 $87.10 Median $87.10 Typical High $120.23 | Professional | None | $87.10 | $87.10 | $120.23 |
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 $93.33 Median $93.33 Typical High $93.33 | Facility | AF · Specialist physician | $93.33 | $93.33 | $93.33 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $69.18 Median $69.18 Typical High $69.18 | Facility | HO · Master's level | $69.18 | $69.18 | $69.18 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $79.43 Median $79.43 Typical High $79.43 | Facility | TD · Registered nurse | $79.43 | $79.43 | $79.43 |
Ambetter Setting Professional Modifier HO · Master's level Typical Low $75.86 Median $81.28 Typical High $109.65 | Professional | HO · Master's level | $75.86 | $81.28 | $109.65 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $38.02 Median $42.66 Typical High $75.86 | Professional | 51 · Multiple procedures | $38.02 | $42.66 | $75.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $15.49 Median $17.38 Typical High $30.90 | Professional | 80 · Assistant surgeon | $15.49 | $17.38 | $30.90 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.72 Median $12.02 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $10.72 | $12.02 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.72 Median $12.02 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $10.72 | $12.02 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.72 Median $12.02 Typical High $21.38 | Professional | AS · PA/NP assist | $10.72 | $12.02 | $21.38 |
Where South Carolina sits
The same service costs 1.7 times more in Alaska 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· 42nd of 51
$87.10
AK $132OH $75.86
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.