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 $831.76 Median $831.76 Typical High $831.76 | Facility | None | $831.76 | $831.76 | $831.76 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $831.76 Typical High $851.14 | Professional | None | $758.58 | $831.76 | $851.14 |
Ambetter Setting Professional Modifier None Typical Low $645.65 Median $645.65 Typical High $645.65 | Professional | None | $645.65 | $645.65 | $645.65 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $3,019.95 Typical High $5,248.07 | Facility | None | $1,778.28 | $3,019.95 | $5,248.07 |
BCBS South Carolina Setting Professional Modifier None Typical Low $645.65 Median $707.95 Typical High $741.31 | Professional | None | $645.65 | $707.95 | $741.31 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $691.83 Median $851.14 Typical High $1,905.46 | Professional | None | $691.83 | $851.14 | $1,905.46 |
Medcost Setting Professional Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | None | $707.95 | $707.95 | $707.95 |
Medcost Setting Facility Modifier None Typical Low $691.83 Median $831.76 Typical High $2,137.96 | Facility | None | $691.83 | $831.76 | $2,137.96 |
Medcost Setting Professional Modifier None Typical Low $776.25 Median $776.25 Typical High $1,023.29 | Professional | None | $776.25 | $776.25 | $1,023.29 |
Molina Setting Professional Modifier None Typical Low $691.83 Median $912.01 Typical High $1,412.54 | Professional | None | $691.83 | $912.01 | $1,412.54 |
United Setting Facility Modifier None Typical Low $1,584.89 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,905.46 | $2,454.71 |
United Setting Professional Modifier None Typical Low $363.08 Median $602.56 Typical High $1,096.48 | Professional | None | $363.08 | $602.56 | $1,096.48 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $707.95 Median $707.95 Typical High $707.95 | Professional | 59 · Distinct service | $707.95 | $707.95 | $707.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $389.05 Median $389.05 Typical High $575.44 | Professional | 51 · Multiple procedures | $389.05 | $389.05 | $575.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $154.88 Median $154.88 Typical High $229.09 | Professional | 80 · Assistant surgeon | $154.88 | $154.88 | $229.09 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | 81 · Minimal assistant surgeon | $109.65 | $109.65 | $162.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | 82 · Assistant surgeon, no resident | $109.65 | $109.65 | $162.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $109.65 Median $109.65 Typical High $162.18 | Professional | AS · PA/NP assist | $109.65 | $109.65 | $162.18 |
Where South Carolina sits
The same service costs 3.2 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· 43rd of 51
$741
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.