How much rates vary
Facilitymedian $525 · 10th to 90th $81 to $1,175Professionalmedian $83 · 10th to 90th $63 to $107
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 $70.79 Median $81.28 Typical High $95.50 | Facility | None | $70.79 | $81.28 | $95.50 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $81.28 Typical High $95.50 | Professional | None | $63.10 | $81.28 | $95.50 |
Ambetter Setting Professional Modifier None Typical Low $58.88 Median $58.88 Typical High $58.88 | Professional | None | $58.88 | $58.88 | $58.88 |
BCBS South Carolina Setting Facility Modifier None Typical Low $416.87 Median $707.95 Typical High $1,230.27 | Facility | None | $416.87 | $707.95 | $1,230.27 |
BCBS South Carolina Setting Professional Modifier None Typical Low $87.10 Median $87.10 Typical High $91.20 | Professional | None | $87.10 | $87.10 | $91.20 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $70.79 Median $87.10 Typical High $91.20 | Professional | 29 | $70.79 | $87.10 | $91.20 |
Cigna Setting Facility Modifier None Typical Low $288.40 Median $288.40 Typical High $288.40 | Facility | None | $288.40 | $288.40 | $288.40 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $97.72 Typical High $104.71 | Professional | None | $64.57 | $97.72 | $104.71 |
Medcost Setting Facility Modifier None Typical Low $87.10 Median $100.00 Typical High $223.87 | Facility | None | $87.10 | $100.00 | $223.87 |
Medcost Setting Professional Modifier None Typical Low $45.71 Median $91.20 Typical High $131.83 | Professional | None | $45.71 | $91.20 | $131.83 |
Molina Setting Professional Modifier None Typical Low $95.50 Median $117.49 Typical High $190.55 | Professional | None | $95.50 | $117.49 | $190.55 |
United Setting Facility Modifier None Typical Low $912.01 Median $1,096.48 Typical High $1,445.44 | Facility | None | $912.01 | $1,096.48 | $1,445.44 |
United Setting Professional Modifier None Typical Low $83.18 Median $89.13 Typical High $134.90 | Professional | None | $83.18 | $89.13 | $134.90 |
8 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 $83.18 Median $83.18 Typical High $95.50 | Facility | AF · Specialist physician | $83.18 | $83.18 | $95.50 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $63.10 Median $63.10 Typical High $72.44 | Facility | HO · Master's level | $63.10 | $63.10 | $72.44 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $70.79 Median $70.79 Typical High $81.28 | Facility | TD · Registered nurse | $70.79 | $70.79 | $81.28 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $22.91 Median $45.71 Typical High $67.61 | Professional | 51 · Multiple procedures | $22.91 | $45.71 | $67.61 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $9.12 Median $18.62 Typical High $26.92 | Professional | 80 · Assistant surgeon | $9.12 | $18.62 | $26.92 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $6.31 Median $12.88 Typical High $19.05 | Professional | 81 · Minimal assistant surgeon | $6.31 | $12.88 | $19.05 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $6.31 Median $12.88 Typical High $19.05 | Professional | 82 · Assistant surgeon, no resident | $6.31 | $12.88 | $19.05 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $6.31 Median $12.88 Typical High $19.05 | Professional | AS · PA/NP assist | $6.31 | $12.88 | $19.05 |
Where South Carolina sits
The same service costs 2.2 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· 41st of 51
$83.18
AK $158AZ $70.79
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.