How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $97.72 Median $100.00 Typical High $100.00 | Facility | None | $97.72 | $100.00 | $100.00 |
Aetna Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $100.00 | Professional | None | $97.72 | $100.00 | $100.00 |
BCBS South Carolina Setting Facility Modifier None Typical Low $138.04 Median $302.00 Typical High $346.74 | Facility | None | $138.04 | $302.00 | $346.74 |
BCBS South Carolina Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $79.43 | Professional | None | $79.43 | $79.43 | $79.43 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $79.43 Median $79.43 Typical High $93.33 | Professional | 29 | $79.43 | $79.43 | $93.33 |
Cigna Setting Professional Modifier None Typical Low $61.66 Median $70.79 Typical High $138.04 | Professional | None | $61.66 | $70.79 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $61.66 Median $109.65 Typical High $263.03 | Facility | None | $61.66 | $109.65 | $263.03 |
Medcost Setting Professional Modifier None Typical Low $74.13 Median $81.28 Typical High $131.83 | Professional | None | $74.13 | $81.28 | $131.83 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $123.03 Typical High $190.55 | Professional | None | $95.50 | $123.03 | $190.55 |
United Setting Facility Modifier None Typical Low $97.72 Median $97.72 Typical High $107.15 | Facility | None | $97.72 | $97.72 | $107.15 |
United Setting Professional Modifier None Typical Low $63.10 Median $91.20 Typical High $141.25 | Professional | None | $63.10 | $91.20 | $141.25 |
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 $47.86 Median $50.12 Typical High $50.12 | Professional | 52 · Reduced service | $47.86 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $19.50 Median $19.95 Typical High $19.95 | Professional | 53 · Discontinued | $19.50 | $19.95 | $19.95 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $37.15 Median $40.74 Typical High $70.79 | Professional | 51 · Multiple procedures | $37.15 | $40.74 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $14.79 Median $16.22 Typical High $28.18 | Professional | 80 · Assistant surgeon | $14.79 | $16.22 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $10.23 Median $11.22 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $10.23 | $11.22 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $10.23 Median $11.22 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $10.23 | $11.22 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $10.23 Median $11.22 Typical High $19.95 | Professional | AS · PA/NP assist | $10.23 | $11.22 | $19.95 |
Where South Carolina sits
The same service costs 3.0 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· 35th of 51
$97.72
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.