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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Facility Modifier None Typical Low $208.93 Median $354.81 Typical High $575.44 | Facility | None | $208.93 | $354.81 | $575.44 |
Cigna Setting Professional Modifier None Typical Low $91.20 Median $91.20 Typical High $91.20 | Professional | None | $91.20 | $91.20 | $91.20 |
Medcost Setting Professional Modifier None Typical Low $6.03 Median $213.80 Typical High $213.80 | Professional | None | $6.03 | $213.80 | $213.80 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
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 $3.02 Median $107.15 Typical High $107.15 | Professional | 51 · Multiple procedures | $3.02 | $107.15 | $107.15 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.20 Median $42.66 Typical High $42.66 | Professional | 80 · Assistant surgeon | $1.20 | $42.66 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.83 Median $30.20 Typical High $30.20 | Professional | 81 · Minimal assistant surgeon | $0.83 | $30.20 | $30.20 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.83 Median $30.20 Typical High $30.20 | Professional | 82 · Assistant surgeon, no resident | $0.83 | $30.20 | $30.20 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.83 Median $30.20 Typical High $30.20 | Professional | AS · PA/NP assist | $0.83 | $30.20 | $30.20 |
Where South Carolina sits
The same service costs 11749.0 times more in Pennsylvania than in North Carolina. 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· 11th of 49
$229
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.