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 $158.49 Median $158.49 Typical High $162.18 | Facility | None | $158.49 | $158.49 | $162.18 |
Aetna Setting Professional Modifier None Typical Low $154.88 Median $158.49 Typical High $173.78 | Professional | None | $154.88 | $158.49 | $173.78 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $75.86 Median $79.43 Typical High $81.28 | Professional | 52 · Reduced service | $75.86 | $79.43 | $81.28 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $30.90 Median $32.36 Typical High $32.36 | Professional | 53 · Discontinued | $30.90 | $32.36 | $32.36 |
Ambetter Setting Professional Modifier None Typical Low $144.54 Median $239.88 Typical High $239.88 | Professional | None | $144.54 | $239.88 | $239.88 |
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 $131.83 Median $169.82 Typical High $213.80 | Professional | None | $131.83 | $169.82 | $213.80 |
Cigna Setting Professional Modifier None Typical Low $173.78 Median $177.83 Typical High $309.03 | Professional | None | $173.78 | $177.83 | $309.03 |
Medcost Setting Facility Modifier None Typical Low $162.18 Median $177.83 Typical High $436.52 | Facility | None | $162.18 | $177.83 | $436.52 |
Medcost Setting Professional Modifier None Typical Low $123.03 Median $186.21 Typical High $213.80 | Professional | None | $123.03 | $186.21 | $213.80 |
Molina Setting Professional Modifier None Typical Low $165.96 Median $208.93 Typical High $316.23 | Professional | None | $165.96 | $208.93 | $316.23 |
United Setting Professional Modifier None Typical Low $144.54 Median $177.83 Typical High $275.42 | Professional | None | $144.54 | $177.83 | $275.42 |
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 $61.66 Median $93.33 Typical High $141.25 | Professional | 51 · Multiple procedures | $61.66 | $93.33 | $141.25 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $24.55 Median $38.02 Typical High $56.23 | Professional | 80 · Assistant surgeon | $24.55 | $38.02 | $56.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $16.98 Median $26.30 Typical High $39.81 | Professional | 81 · Minimal assistant surgeon | $16.98 | $26.30 | $39.81 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $16.98 Median $26.30 Typical High $39.81 | Professional | 82 · Assistant surgeon, no resident | $16.98 | $26.30 | $39.81 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $16.98 Median $26.30 Typical High $39.81 | Professional | AS · PA/NP assist | $16.98 | $26.30 | $39.81 |
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· 30th of 51
$178
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.