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 $208.93 Median $208.93 Typical High $213.80 | Facility | None | $208.93 | $208.93 | $213.80 |
Aetna Setting Professional Modifier None Typical Low $199.53 Median $208.93 Typical High $223.87 | Professional | None | $199.53 | $208.93 | $223.87 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $100.00 Median $104.71 Typical High $107.15 | Professional | 52 · Reduced service | $100.00 | $104.71 | $107.15 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $39.81 Median $41.69 Typical High $42.66 | Professional | 53 · Discontinued | $39.81 | $41.69 | $42.66 |
Ambetter Setting Professional Modifier None Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None | $208.93 | $208.93 | $208.93 |
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 $173.78 Median $229.09 Typical High $281.84 | Professional | None | $173.78 | $229.09 | $281.84 |
Cigna Setting Professional Modifier None Typical Low $223.87 Median $239.88 Typical High $398.11 | Professional | None | $223.87 | $239.88 | $398.11 |
Medcost Setting Facility Modifier None Typical Low $213.80 Median $234.42 Typical High $562.34 | Facility | None | $213.80 | $234.42 | $562.34 |
Medcost Setting Professional Modifier None Typical Low $158.49 Median $251.19 Typical High $275.42 | Professional | None | $158.49 | $251.19 | $275.42 |
Molina Setting Professional Modifier None Typical Low $199.53 Median $251.19 Typical High $380.19 | Professional | None | $199.53 | $251.19 | $380.19 |
United Setting Professional Modifier None Typical Low $190.55 Median $234.42 Typical High $363.08 | Professional | None | $190.55 | $234.42 | $363.08 |
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 $79.43 Median $125.89 Typical High $186.21 | Professional | 51 · Multiple procedures | $79.43 | $125.89 | $186.21 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $32.36 Median $50.12 Typical High $74.13 | Professional | 80 · Assistant surgeon | $32.36 | $50.12 | $74.13 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $22.39 Median $34.67 Typical High $51.29 | Professional | 81 · Minimal assistant surgeon | $22.39 | $34.67 | $51.29 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $22.39 Median $34.67 Typical High $51.29 | Professional | 82 · Assistant surgeon, no resident | $22.39 | $34.67 | $51.29 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $22.39 Median $34.67 Typical High $51.29 | Professional | AS · PA/NP assist | $22.39 | $34.67 | $51.29 |
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· 32nd of 51
$234
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.