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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $134.90 | Professional | None | $125.89 | $125.89 | $134.90 |
BCBS South Carolina Setting Facility Modifier None Typical Low $61.66 Median $112.20 Typical High $194.98 | Facility | None | $61.66 | $112.20 | $194.98 |
BCBS South Carolina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $128.82 | Professional | None | $123.03 | $123.03 | $128.82 |
Cigna Setting Facility Modifier None Typical Low $144.54 Median $144.54 Typical High $144.54 | Facility | None | $144.54 | $144.54 | $144.54 |
Cigna Setting Professional Modifier None Typical Low $117.49 Median $138.04 Typical High $199.53 | Professional | None | $117.49 | $138.04 | $199.53 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $138.04 Typical High $323.59 | Facility | None | $125.89 | $138.04 | $323.59 |
Medcost Setting Professional Modifier None Typical Low $125.89 Median $125.89 Typical High $141.25 | Professional | None | $125.89 | $125.89 | $141.25 |
Molina Setting Professional Modifier None Typical Low $123.03 Median $162.18 Typical High $245.47 | Professional | None | $123.03 | $162.18 | $245.47 |
United Setting Facility Modifier None Typical Low $537.03 Median $660.69 Typical High $851.14 | Facility | None | $537.03 | $660.69 | $851.14 |
United Setting Professional Modifier None Typical Low $97.72 Median $123.03 Typical High $199.53 | Professional | None | $97.72 | $123.03 | $199.53 |
7 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 Professional Modifier 52 · Reduced service Typical Low $63.10 Median $63.10 Typical High $67.61 | Professional | 52 · Reduced service | $63.10 | $63.10 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $25.12 Median $25.12 Typical High $26.92 | Professional | 53 · Discontinued | $25.12 | $25.12 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $63.10 Median $63.10 Typical High $89.13 | Professional | 51 · Multiple procedures | $63.10 | $63.10 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $25.12 Median $25.12 Typical High $35.48 | Professional | 80 · Assistant surgeon | $25.12 | $25.12 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $17.38 | $17.38 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $17.38 | $17.38 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $17.38 Median $17.38 Typical High $24.55 | Professional | AS · PA/NP assist | $17.38 | $17.38 | $24.55 |
Where South Carolina sits
The same service costs 3.0 times more in Minnesota 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· 41st of 51
$129
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.