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 $53.70 Median $53.70 Typical High $79.43 | Facility | None | $53.70 | $53.70 | $79.43 |
Aetna Setting Professional Modifier None Typical Low $51.29 Median $53.70 Typical High $57.54 | Professional | None | $51.29 | $53.70 | $57.54 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $25.70 Median $26.92 Typical High $26.92 | Professional | 52 · Reduced service | $25.70 | $26.92 | $26.92 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $10.23 Median $10.72 Typical High $10.72 | Professional | 53 · Discontinued | $10.23 | $10.72 | $10.72 |
Ambetter Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $72.44 | Professional | None | $72.44 | $72.44 | $72.44 |
BCBS South Carolina Setting Facility Modifier None Typical Low $245.47 Median $436.52 Typical High $776.25 | Facility | None | $245.47 | $436.52 | $776.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $41.69 Median $64.57 Typical High $74.13 | Professional | None | $41.69 | $64.57 | $74.13 |
Cigna Setting Professional Modifier None Typical Low $57.54 Median $60.26 Typical High $100.00 | Professional | None | $57.54 | $60.26 | $100.00 |
Medcost Setting Facility Modifier None Typical Low $53.70 Median $58.88 Typical High $141.25 | Facility | None | $53.70 | $58.88 | $141.25 |
Medcost Setting Professional Modifier None Typical Low $44.67 Median $63.10 Typical High $70.79 | Professional | None | $44.67 | $63.10 | $70.79 |
Molina Setting Professional Modifier None Typical Low $34.67 Median $43.65 Typical High $66.07 | Professional | None | $34.67 | $43.65 | $66.07 |
United Setting Facility Modifier None Typical Low $398.11 Median $489.78 Typical High $630.96 | Facility | None | $398.11 | $489.78 | $630.96 |
United Setting Professional Modifier None Typical Low $48.98 Median $58.88 Typical High $91.20 | Professional | None | $48.98 | $58.88 | $91.20 |
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 $22.39 Median $31.62 Typical High $46.77 | Professional | 51 · Multiple procedures | $22.39 | $31.62 | $46.77 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $8.13 Median $12.59 Typical High $18.62 | Professional | 80 · Assistant surgeon | $8.13 | $12.59 | $18.62 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.75 Median $8.91 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $5.75 | $8.91 | $13.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.75 Median $8.91 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $5.75 | $8.91 | $13.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.75 Median $8.91 Typical High $13.18 | Professional | AS · PA/NP assist | $5.75 | $8.91 | $13.18 |
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· 30th of 51
$58.88
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.