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 $128.82 Median $128.82 Typical High $165.96 | Facility | None | $128.82 | $128.82 | $165.96 |
Aetna Setting Professional Modifier None Typical Low $128.82 Median $144.54 Typical High $165.96 | Professional | None | $128.82 | $144.54 | $165.96 |
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 $112.20 Median $165.96 Typical High $165.96 | Professional | None | $112.20 | $165.96 | $165.96 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $39.81 Median $79.43 Typical High $165.96 | Professional | 29 | $39.81 | $79.43 | $165.96 |
Cigna Setting Professional Modifier None Typical Low $123.03 Median $144.54 Typical High $275.42 | Professional | None | $123.03 | $144.54 | $275.42 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $165.96 Typical High $338.84 | Facility | None | $138.04 | $165.96 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $131.83 Typical High $190.55 | Professional | None | $109.65 | $131.83 | $190.55 |
Molina Setting Professional Modifier None Typical Low $158.49 Median $199.53 Typical High $316.23 | Professional | None | $158.49 | $199.53 | $316.23 |
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 $120.23 Median $165.96 Typical High $257.04 | Professional | None | $120.23 | $165.96 | $257.04 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $54.95 Median $64.57 Typical High $117.49 | Professional | 51 · Multiple procedures | $54.95 | $64.57 | $117.49 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $26.30 Typical High $46.77 | Professional | 80 · Assistant surgeon | $21.88 | $26.30 | $46.77 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.49 Median $18.20 Typical High $33.11 | Professional | 81 · Minimal assistant surgeon | $15.49 | $18.20 | $33.11 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.49 Median $18.20 Typical High $33.11 | Professional | 82 · Assistant surgeon, no resident | $15.49 | $18.20 | $33.11 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.49 Median $18.20 Typical High $33.11 | Professional | AS · PA/NP assist | $15.49 | $18.20 | $33.11 |
Where South Carolina sits
The same service costs 2.4 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· 20th of 51
$162
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.