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 $102.33 Median $223.87 Typical High $323.59 | Facility | None | $102.33 | $223.87 | $323.59 |
BCBS South Carolina Setting Facility Modifier TC · Technical part Typical Low $138.04 Median $138.04 Typical High $138.04 | Facility | TC · Technical part | $138.04 | $138.04 | $138.04 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $7.94 Median $7.94 Typical High $7.94 | Professional | None (both parts) | $7.94 | $7.94 | $7.94 |
Medcost Setting Professional Modifier None (both parts) Typical Low $41.69 Median $41.69 Typical High $41.69 | Professional | None (both parts) | $41.69 | $41.69 | $41.69 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $25.12 Median $25.12 Typical High $25.12 | Professional | TC · Technical part | $25.12 | $25.12 | $25.12 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $120.23 Median $147.91 Typical High $190.55 | Facility | None | $120.23 | $147.91 | $190.55 |
6 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 26 · Professional part Typical Low $16.98 Median $16.98 Typical High $16.98 | Professional | 26 · Professional part | $16.98 | $16.98 | $16.98 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | 51 · Multiple procedures | $20.89 | $20.89 | $20.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.32 Median $8.32 Typical High $8.32 | Professional | 80 · Assistant surgeon | $8.32 | $8.32 | $8.32 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 81 · Minimal assistant surgeon | $5.89 | $5.89 | $5.89 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | 82 · Assistant surgeon, no resident | $5.89 | $5.89 | $5.89 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.89 Median $5.89 Typical High $5.89 | Professional | AS · PA/NP assist | $5.89 | $5.89 | $5.89 |
Where South Carolina sits
The same service costs 912.0 times more in Wisconsin than in Indiana. 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· 41st of 43
$18.62
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.