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 $107.15 Median $107.15 Typical High $107.15 | Facility | None | $107.15 | $107.15 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $104.71 Median $107.15 Typical High $114.82 | Professional | None | $104.71 | $107.15 | $114.82 |
BCBS South Carolina Setting Facility Modifier None Typical Low $39.81 Median $53.70 Typical High $125.89 | Facility | None | $39.81 | $53.70 | $125.89 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.95 Median $83.18 Typical High $104.71 | Professional | None | $19.95 | $83.18 | $104.71 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $120.23 Typical High $208.93 | Professional | None | $114.82 | $120.23 | $208.93 |
Medcost Setting Facility Modifier None Typical Low $107.15 Median $120.23 Typical High $288.40 | Facility | None | $107.15 | $120.23 | $288.40 |
Medcost Setting Professional Modifier None Typical Low $81.28 Median $125.89 Typical High $141.25 | Professional | None | $81.28 | $125.89 | $141.25 |
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 Facility Modifier None Typical Low $158.49 Median $190.55 Typical High $245.47 | Facility | None | $158.49 | $190.55 | $245.47 |
United Setting Professional Modifier None Typical Low $100.00 Median $120.23 Typical High $186.21 | Professional | None | $100.00 | $120.23 | $186.21 |
7 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 |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $53.70 Typical High $53.70 | Professional | 52 · Reduced service | $52.48 | $53.70 | $53.70 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $21.88 Typical High $21.88 | Professional | 53 · Discontinued | $20.89 | $21.88 | $21.88 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $40.74 Median $63.10 Typical High $93.33 | Professional | 51 · Multiple procedures | $40.74 | $63.10 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $16.22 Median $25.12 Typical High $38.02 | Professional | 80 · Assistant surgeon | $16.22 | $25.12 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $11.48 Median $17.78 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $11.48 | $17.78 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $11.48 Median $17.78 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $11.48 | $17.78 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $11.48 Median $17.78 Typical High $26.30 | Professional | AS · PA/NP assist | $11.48 | $17.78 | $26.30 |
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· 43rd of 51
$107
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.