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 $257.04 Median $257.04 Typical High $263.03 | Facility | None | $257.04 | $257.04 | $263.03 |
Aetna Setting Professional Modifier None Typical Low $245.47 Median $257.04 Typical High $295.12 | Professional | None | $245.47 | $257.04 | $295.12 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $123.03 Median $128.82 Typical High $128.82 | Professional | 52 · Reduced service | $123.03 | $128.82 | $128.82 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $48.98 Median $51.29 Typical High $52.48 | Professional | 53 · Discontinued | $48.98 | $51.29 | $52.48 |
Ambetter Setting Professional Modifier None Typical Low $229.09 Median $229.09 Typical High $302.00 | Professional | None | $229.09 | $229.09 | $302.00 |
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 $208.93 Median $281.84 Typical High $346.74 | Professional | None | $208.93 | $281.84 | $346.74 |
Cigna Setting Professional Modifier None Typical Low $281.84 Median $295.12 Typical High $489.78 | Professional | None | $281.84 | $295.12 | $489.78 |
Medcost Setting Facility Modifier None Typical Low $263.03 Median $288.40 Typical High $691.83 | Facility | None | $263.03 | $288.40 | $691.83 |
Medcost Setting Professional Modifier None Typical Low $194.98 Median $309.03 Typical High $338.84 | Professional | None | $194.98 | $309.03 | $338.84 |
Molina Setting Professional Modifier None Typical Low $263.03 Median $338.84 Typical High $501.19 | Professional | None | $263.03 | $338.84 | $501.19 |
United Setting Professional Modifier None Typical Low $234.42 Median $288.40 Typical High $446.68 | Professional | None | $234.42 | $288.40 | $446.68 |
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 $97.72 Median $154.88 Typical High $223.87 | Professional | 51 · Multiple procedures | $97.72 | $154.88 | $223.87 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $38.90 Median $61.66 Typical High $91.20 | Professional | 80 · Assistant surgeon | $38.90 | $61.66 | $91.20 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $27.54 Median $43.65 Typical High $63.10 | Professional | 81 · Minimal assistant surgeon | $27.54 | $43.65 | $63.10 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $27.54 Median $43.65 Typical High $63.10 | Professional | 82 · Assistant surgeon, no resident | $27.54 | $43.65 | $63.10 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $27.54 Median $43.65 Typical High $63.10 | Professional | AS · PA/NP assist | $27.54 | $43.65 | $63.10 |
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· 29th of 51
$288
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.