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 $141.25 Median $141.25 Typical High $141.25 | Facility | None | $141.25 | $141.25 | $141.25 |
Aetna Setting Professional Modifier None Typical Low $138.04 Median $141.25 Typical High $141.25 | Professional | None | $138.04 | $141.25 | $141.25 |
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 $114.82 Median $177.83 Typical High $186.21 | Professional | None | $114.82 | $177.83 | $186.21 |
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 $144.54 Median $165.96 Typical High $234.42 | Professional | None | $144.54 | $165.96 | $234.42 |
Medcost Setting Professional Modifier None Typical Low $208.93 Median $223.87 Typical High $257.04 | Professional | None | $208.93 | $223.87 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $141.25 Median $165.96 Typical High $380.19 | Facility | None | $141.25 | $165.96 | $380.19 |
Medcost Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $186.21 | Professional | None | $154.88 | $158.49 | $186.21 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $165.96 Typical High $257.04 | Professional | None | $128.82 | $165.96 | $257.04 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None Typical Low $117.49 Median $144.54 Typical High $229.09 | Professional | None | $117.49 | $144.54 | $229.09 |
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 $77.62 Median $85.11 Typical High $104.71 | Professional | 51 · Multiple procedures | $77.62 | $85.11 | $104.71 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $30.90 Median $33.88 Typical High $42.66 | Professional | 80 · Assistant surgeon | $30.90 | $33.88 | $42.66 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $21.88 Median $23.44 Typical High $29.51 | Professional | 81 · Minimal assistant surgeon | $21.88 | $23.44 | $29.51 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $21.88 Median $23.44 Typical High $29.51 | Professional | 82 · Assistant surgeon, no resident | $21.88 | $23.44 | $29.51 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $21.88 Median $23.44 Typical High $29.51 | Professional | AS · PA/NP assist | $21.88 | $23.44 | $29.51 |
Where South Carolina sits
The same service costs 2.7 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· 28th of 51
$166
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.