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 $134.90 Median $134.90 Typical High $138.04 | Facility | None | $134.90 | $134.90 | $138.04 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $134.90 Typical High $154.88 | Professional | None | $131.83 | $134.90 | $154.88 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $66.07 Median $67.61 Typical High $69.18 | Professional | 52 · Reduced service | $66.07 | $67.61 | $69.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $26.30 Median $26.92 Typical High $27.54 | Professional | 53 · Discontinued | $26.30 | $26.92 | $27.54 |
Ambetter Setting Professional Modifier None Typical Low $120.23 Median $120.23 Typical High $123.03 | Professional | None | $120.23 | $120.23 | $123.03 |
BCBS South Carolina Setting Facility Modifier None Typical Low $1,778.28 Median $4,073.80 Typical High $5,495.41 | Facility | None | $1,778.28 | $4,073.80 | $5,495.41 |
BCBS South Carolina Setting Professional Modifier None Typical Low $109.65 Median $147.91 Typical High $181.97 | Professional | None | $109.65 | $147.91 | $181.97 |
Cigna Setting Professional Modifier None Typical Low $144.54 Median $151.36 Typical High $257.04 | Professional | None | $144.54 | $151.36 | $257.04 |
Medcost Setting Facility Modifier None Typical Low $138.04 Median $151.36 Typical High $363.08 | Facility | None | $138.04 | $151.36 | $363.08 |
Medcost Setting Professional Modifier None Typical Low $104.71 Median $158.49 Typical High $181.97 | Professional | None | $104.71 | $158.49 | $181.97 |
Molina Setting Professional Modifier None Typical Low $100.00 Median $125.89 Typical High $190.55 | Professional | None | $100.00 | $125.89 | $190.55 |
United Setting Professional Modifier None Typical Low $123.03 Median $147.91 Typical High $229.09 | Professional | None | $123.03 | $147.91 | $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 $52.48 Median $79.43 Typical High $120.23 | Professional | 51 · Multiple procedures | $52.48 | $79.43 | $120.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $20.89 Median $31.62 Typical High $47.86 | Professional | 80 · Assistant surgeon | $20.89 | $31.62 | $47.86 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $14.45 Median $22.39 Typical High $33.88 | Professional | 81 · Minimal assistant surgeon | $14.45 | $22.39 | $33.88 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $14.45 Median $22.39 Typical High $33.88 | Professional | 82 · Assistant surgeon, no resident | $14.45 | $22.39 | $33.88 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $14.45 Median $22.39 Typical High $33.88 | Professional | AS · PA/NP assist | $14.45 | $22.39 | $33.88 |
Where South Carolina sits
The same service costs 2.8 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· 33rd of 51
$148
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.