How much rates vary
Facilitymedian $380 · 10th to 90th $115 to $891Professionalmedian $110 · 10th to 90th $85 to $132
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 $85.11 Median $97.72 Typical High $125.89 | Facility | None | $85.11 | $97.72 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $85.11 Median $107.15 Typical High $125.89 | Professional | None | $85.11 | $107.15 | $125.89 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $56.23 Typical High $63.10 | Professional | 52 · Reduced service | $54.95 | $56.23 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $22.91 Typical High $25.12 | Professional | 53 · Discontinued | $22.39 | $22.91 | $25.12 |
Ambetter Setting Professional Modifier None Typical Low $83.18 Median $107.15 Typical High $120.23 | Professional | None | $83.18 | $107.15 | $120.23 |
BCBS South Carolina Setting Facility Modifier None Typical Low $281.84 Median $380.19 Typical High $891.25 | Facility | None | $281.84 | $380.19 | $891.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $79.43 Median $79.43 Typical High $117.49 | Professional | None | $79.43 | $79.43 | $117.49 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $79.43 Median $97.72 Typical High $120.23 | Professional | 29 | $79.43 | $97.72 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $81.28 Median $120.23 Typical High $125.89 | Professional | None | $81.28 | $120.23 | $125.89 |
Medcost Setting Facility Modifier None Typical Low $117.49 Median $134.90 Typical High $302.00 | Facility | None | $117.49 | $134.90 | $302.00 |
Medcost Setting Professional Modifier None Typical Low $97.72 Median $100.00 Typical High $141.25 | Professional | None | $97.72 | $100.00 | $141.25 |
Molina Setting Professional Modifier None Typical Low $128.82 Median $162.18 Typical High $257.04 | Professional | None | $128.82 | $162.18 | $257.04 |
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 $104.71 Median $114.82 Typical High $173.78 | Professional | None | $104.71 | $114.82 | $173.78 |
6 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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier HO · Master's level Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | HO · Master's level | $120.23 | $120.23 | $120.23 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $48.98 Median $50.12 Typical High $87.10 | Professional | 51 · Multiple procedures | $48.98 | $50.12 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $19.50 Median $19.95 Typical High $34.67 | Professional | 80 · Assistant surgeon | $19.50 | $19.95 | $34.67 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $13.49 Median $14.13 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $13.49 | $14.13 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $13.49 Median $14.13 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $13.49 | $14.13 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $13.49 Median $14.13 Typical High $24.55 | Professional | AS · PA/NP assist | $13.49 | $14.13 | $24.55 |
Where South Carolina sits
The same service costs 2.3 times more in Alaska than in Kentucky. 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· 38th of 51
$110
AK $219KY $93.33
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.