How much rates vary
Facilitymedian $380 · 10th to 90th $100 to $759Professionalmedian $115 · 10th to 90th $83 to $145
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 $93.33 Median $100.00 Typical High $134.90 | Facility | None | $93.33 | $100.00 | $134.90 |
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $54.95 Median $54.95 Typical High $67.61 | Facility | 52 · Reduced service | $54.95 | $54.95 | $67.61 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $22.39 Median $22.39 Typical High $26.92 | Facility | 53 · Discontinued | $22.39 | $22.39 | $26.92 |
Aetna Setting Professional Modifier None Typical Low $83.18 Median $112.20 Typical High $134.90 | Professional | None | $83.18 | $112.20 | $134.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $54.95 Median $58.88 Typical High $67.61 | Professional | 52 · Reduced service | $54.95 | $58.88 | $67.61 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $22.39 Median $23.99 Typical High $26.92 | Professional | 53 · Discontinued | $22.39 | $23.99 | $26.92 |
Ambetter Setting Professional Modifier None Typical Low $79.43 Median $107.15 Typical High $218.78 | Professional | None | $79.43 | $107.15 | $218.78 |
BCBS South Carolina Setting Facility Modifier None Typical Low $275.42 Median $380.19 Typical High $891.25 | Facility | None | $275.42 | $380.19 | $891.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $125.89 | Professional | None | $102.33 | $102.33 | $125.89 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $97.72 Median $102.33 Typical High $125.89 | Professional | 29 | $97.72 | $102.33 | $125.89 |
Cigna Setting Professional Modifier None Typical Low $89.13 Median $134.90 Typical High $141.25 | Professional | None | $89.13 | $134.90 | $141.25 |
Medcost Setting Facility Modifier None Typical Low $114.82 Median $138.04 Typical High $295.12 | Facility | None | $114.82 | $138.04 | $295.12 |
Medcost Setting Professional Modifier None Typical Low $107.15 Median $109.65 Typical High $154.88 | Professional | None | $107.15 | $109.65 | $154.88 |
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 $1,584.89 Median $1,905.46 Typical High $2,454.71 | Facility | None | $1,584.89 | $1,905.46 | $2,454.71 |
United Setting Professional Modifier None Typical Low $107.15 Median $123.03 Typical High $190.55 | Professional | None | $107.15 | $123.03 | $190.55 |
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 $112.20 Median $112.20 Typical High $134.90 | Facility | AF · Specialist physician | $112.20 | $112.20 | $134.90 |
Aetna Setting Facility Modifier HO · Master's level Typical Low $83.18 Median $83.18 Typical High $100.00 | Facility | HO · Master's level | $83.18 | $83.18 | $100.00 |
Aetna Setting Facility Modifier TD · Registered nurse Typical Low $93.33 Median $93.33 Typical High $114.82 | Facility | TD · Registered nurse | $93.33 | $93.33 | $114.82 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $53.70 Median $54.95 Typical High $93.33 | Professional | 51 · Multiple procedures | $53.70 | $54.95 | $93.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $21.88 Median $21.88 Typical High $38.02 | Professional | 80 · Assistant surgeon | $21.88 | $21.88 | $38.02 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | 81 · Minimal assistant surgeon | $15.14 | $15.14 | $26.30 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | 82 · Assistant surgeon, no resident | $15.14 | $15.14 | $26.30 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $15.14 Median $15.14 Typical High $26.30 | Professional | AS · PA/NP assist | $15.14 | $15.14 | $26.30 |
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
$115
AK $224KY $95.50
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.