How much rates vary
Facilitymedian $58 · 10th to 90th $47 to $69Professionalmedian $52 · 10th to 90th $44 to $62
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 $46.77 Median $57.54 Typical High $61.66 | Facility | None | $46.77 | $57.54 | $61.66 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $28.84 Median $30.20 Typical High $30.90 | Facility | 52 · Reduced service | $28.84 | $30.20 | $30.90 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $11.75 Median $12.02 Typical High $12.30 | Facility | 53 · Discontinued | $11.75 | $12.02 | $12.30 |
Aetna Setting Professional Modifier None Typical Low $43.65 Median $52.48 Typical High $61.66 | Professional | None | $43.65 | $52.48 | $61.66 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $28.18 Median $28.84 Typical High $30.90 | Professional | 52 · Reduced service | $28.18 | $28.84 | $30.90 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.22 Median $11.75 Typical High $12.30 | Professional | 53 · Discontinued | $11.22 | $11.75 | $12.30 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $36.31 Median $69.18 Typical High $70.79 | Professional | 29 | $36.31 | $69.18 | $70.79 |
Cigna Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $107.15 | Professional | None | $54.95 | $61.66 | $107.15 |
Medcost Setting Facility Modifier None Typical Low $60.26 Median $67.61 Typical High $158.49 | Facility | None | $60.26 | $67.61 | $158.49 |
Medcost Setting Professional Modifier None Typical Low $50.12 Median $50.12 Typical High $70.79 | Professional | None | $50.12 | $50.12 | $70.79 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | None | $33.11 | $42.66 | $66.07 |
United Setting Professional Modifier None Typical Low $52.48 Median $64.57 Typical High $97.72 | Professional | None | $52.48 | $64.57 | $97.72 |
9 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 Facility Modifier AF · Specialist physician Typical Low $57.54 Median $57.54 Typical High $61.66 | Facility | AF · Specialist physician | $57.54 | $57.54 | $61.66 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $43.65 Median $43.65 Typical High $46.77 | Facility | HO · Master's level | $43.65 | $43.65 | $46.77 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $48.98 Median $48.98 Typical High $52.48 | Facility | TD · Registered nurse | $48.98 | $48.98 | $52.48 |
Ambetter Setting Professional Modifier 59 · Distinct service Typical Low $46.77 Median $46.77 Typical High $46.77 | Professional | 59 · Distinct service | $46.77 | $46.77 | $46.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $24.55 Median $25.12 Typical High $43.65 | Professional | 51 · Multiple procedures | $24.55 | $25.12 | $43.65 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $10.00 Median $10.00 Typical High $17.38 | Professional | 80 · Assistant surgeon | $10.00 | $10.00 | $17.38 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.92 Median $7.08 Typical High $12.02 | Professional | 81 · Minimal assistant surgeon | $6.92 | $7.08 | $12.02 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.92 Median $7.08 Typical High $12.02 | Professional | 82 · Assistant surgeon, no resident | $6.92 | $7.08 | $12.02 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.92 Median $7.08 Typical High $12.02 | Professional | AS · PA/NP assist | $6.92 | $7.08 | $12.02 |
Where South Carolina sits
The same service costs 2.6 times more in Alaska than in Arizona. 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· 40th of 51
$52.48
AK $110AZ $42.66
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.