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 $19.50 Median $19.50 Typical High $19.50 | Facility | None | $19.50 | $19.50 | $19.50 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.50 Typical High $19.95 | Professional | None | $19.05 | $19.50 | $19.95 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $1,258.93 | Facility | None | $416.87 | $707.95 | $1,258.93 |
BCBS South Carolina Setting Professional Modifier None Typical Low $16.22 Median $37.15 Typical High $38.90 | Professional | None | $16.22 | $37.15 | $38.90 |
Cigna Setting Facility Modifier None Typical Low $489.78 Median $489.78 Typical High $489.78 | Facility | None | $489.78 | $489.78 | $489.78 |
Cigna Setting Professional Modifier None Typical Low $19.95 Median $34.67 Typical High $38.02 | Professional | None | $19.95 | $34.67 | $38.02 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $43.65 Typical High $47.86 | Professional | None | $35.48 | $43.65 | $47.86 |
Medcost Setting Facility Modifier None Typical Low $19.50 Median $26.30 Typical High $51.29 | Facility | None | $19.50 | $26.30 | $51.29 |
Medcost Setting Professional Modifier None Typical Low $21.88 Median $32.36 Typical High $35.48 | Professional | None | $21.88 | $32.36 | $35.48 |
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 $16.22 Median $25.12 Typical High $42.66 | Professional | None | $16.22 | $25.12 | $42.66 |
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 $13.80 Median $16.60 Typical High $18.20 | Professional | 51 · Multiple procedures | $13.80 | $16.60 | $18.20 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.50 Median $6.61 Typical High $7.24 | Professional | 80 · Assistant surgeon | $5.50 | $6.61 | $7.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.80 Median $4.57 Typical High $5.01 | Professional | 81 · Minimal assistant surgeon | $3.80 | $4.57 | $5.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.80 Median $4.57 Typical High $5.01 | Professional | 82 · Assistant surgeon, no resident | $3.80 | $4.57 | $5.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.80 Median $4.57 Typical High $5.01 | Professional | AS · PA/NP assist | $3.80 | $4.57 | $5.01 |
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· 8th of 51
$34.67
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.