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 $61.66 Median $81.28 Typical High $95.50 | Facility | None | $61.66 | $81.28 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $61.66 Median $81.28 Typical High $95.50 | Professional | None | $61.66 | $81.28 | $95.50 |
BCBS South Carolina Setting Facility Modifier None Typical Low $263.03 Median $446.68 Typical High $758.58 | Facility | None | $263.03 | $446.68 | $758.58 |
BCBS South Carolina Setting Professional Modifier None Typical Low $97.72 Median $125.89 Typical High $151.36 | Professional | None | $97.72 | $125.89 | $151.36 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $79.43 Median $102.33 Typical High $102.33 | Professional | 29 | $79.43 | $102.33 | $102.33 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $72.44 Typical High $120.23 | Professional | None | $54.95 | $72.44 | $120.23 |
Medcost Setting Facility Modifier None Typical Low $89.13 Median $104.71 Typical High $245.47 | Facility | None | $89.13 | $104.71 | $245.47 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $91.20 Typical High $123.03 | Professional | None | $74.13 | $91.20 | $123.03 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $120.23 Typical High $190.55 | Professional | None | $95.50 | $120.23 | $190.55 |
United Setting Facility Modifier None Typical Low $426.58 Median $512.86 Typical High $676.08 | Facility | None | $426.58 | $512.86 | $676.08 |
United Setting Professional Modifier None Typical Low $85.11 Median $109.65 Typical High $169.82 | Professional | None | $85.11 | $109.65 | $169.82 |
8 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 $81.28 Median $81.28 Typical High $95.50 | Facility | AF · Specialist physician | $81.28 | $81.28 | $95.50 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $61.66 Median $61.66 Typical High $72.44 | Facility | HO · Master's level | $61.66 | $61.66 | $72.44 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $69.18 Median $69.18 Typical High $81.28 | Facility | TD · Registered nurse | $69.18 | $69.18 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $47.86 Typical High $75.86 | Professional | 51 · Multiple procedures | $37.15 | $47.86 | $75.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $19.05 Typical High $30.20 | Professional | 80 · Assistant surgeon | $14.79 | $19.05 | $30.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.47 Median $13.18 Typical High $21.38 | Professional | 81 · Minimal assistant surgeon | $10.47 | $13.18 | $21.38 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.47 Median $13.18 Typical High $21.38 | Professional | 82 · Assistant surgeon, no resident | $10.47 | $13.18 | $21.38 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.47 Median $13.18 Typical High $21.38 | Professional | AS · PA/NP assist | $10.47 | $13.18 | $21.38 |
Where South Carolina sits
The same service costs 2.3 times more in Hawaii than in Arizona. 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· 40th of 51
$81.28
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.