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 $87.10 Median $87.10 Typical High $87.10 | Facility | None | $87.10 | $87.10 | $87.10 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $87.10 Typical High $87.10 | Professional | None | $85.11 | $87.10 | $87.10 |
BCBS South Carolina Setting Facility Modifier None Typical Low $134.90 Median $223.87 Typical High $407.38 | Facility | None | $134.90 | $223.87 | $407.38 |
BCBS South Carolina Setting Professional Modifier None Typical Low $70.79 Median $114.82 Typical High $123.03 | Professional | None | $70.79 | $114.82 | $123.03 |
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 $89.13 Median $107.15 Typical High $147.91 | Professional | None | $89.13 | $107.15 | $147.91 |
Medcost Setting Professional Modifier None Typical Low $134.90 Median $144.54 Typical High $158.49 | Professional | None | $134.90 | $144.54 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $104.71 Typical High $234.42 | Facility | None | $87.10 | $104.71 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $102.33 Typical High $114.82 | Professional | None | $97.72 | $102.33 | $114.82 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $85.11 Typical High $131.83 | Professional | None | $66.07 | $85.11 | $131.83 |
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 $72.44 Median $93.33 Typical High $144.54 | Professional | None | $72.44 | $93.33 | $144.54 |
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 $50.12 Median $54.95 Typical High $67.61 | Professional | 51 · Multiple procedures | $50.12 | $54.95 | $67.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.95 Median $21.88 Typical High $26.92 | Professional | 80 · Assistant surgeon | $19.95 | $21.88 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.13 Median $15.49 Typical High $18.62 | Professional | 81 · Minimal assistant surgeon | $14.13 | $15.49 | $18.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.13 Median $15.49 Typical High $18.62 | Professional | 82 · Assistant surgeon, no resident | $14.13 | $15.49 | $18.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.13 Median $15.49 Typical High $18.62 | Professional | AS · PA/NP assist | $14.13 | $15.49 | $18.62 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Florida. 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· 25th of 51
$107
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.