How much rates vary
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 $25.12 Median $31.62 Typical High $38.90 | Facility | None | $25.12 | $31.62 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $28.18 Typical High $39.81 | Professional | None | $25.12 | $28.18 | $39.81 |
Ambetter Setting Professional Modifier None Typical Low $30.20 Median $32.36 Typical High $35.48 | Professional | None | $30.20 | $32.36 | $35.48 |
BCBS South Carolina Setting Facility Modifier None Typical Low $288.40 Median $389.05 Typical High $912.01 | Facility | None | $288.40 | $389.05 | $912.01 |
BCBS South Carolina Setting Professional Modifier None Typical Low $18.20 Median $18.20 Typical High $33.11 | Professional | None | $18.20 | $18.20 | $33.11 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $18.20 Median $33.11 Typical High $34.67 | Professional | 29 | $18.20 | $33.11 | $34.67 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $38.90 Typical High $38.90 | Professional | None | $21.88 | $38.90 | $38.90 |
Medcost Setting Facility Modifier None Typical Low $33.11 Median $36.31 Typical High $89.13 | Facility | None | $33.11 | $36.31 | $89.13 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $30.20 Typical High $42.66 | Professional | None | $26.92 | $30.20 | $42.66 |
Molina Setting Professional Modifier None Typical Low $29.51 Median $38.90 Typical High $60.26 | Professional | None | $29.51 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $1,862.09 Median $2,290.87 Typical High $2,951.21 | Facility | None | $1,862.09 | $2,290.87 | $2,951.21 |
United Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $53.70 | Professional | None | $32.36 | $33.88 | $53.70 |
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 $16.22 Median $16.60 Typical High $16.60 | Professional | 52 · Reduced service | $16.22 | $16.60 | $16.60 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $6.61 Median $6.61 Typical High $6.61 | Professional | 53 · Discontinued | $6.61 | $6.61 | $6.61 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $13.49 Median $15.14 Typical High $23.44 | Professional | 51 · Multiple procedures | $13.49 | $15.14 | $23.44 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.37 Median $6.03 Typical High $9.33 | Professional | 80 · Assistant surgeon | $5.37 | $6.03 | $9.33 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.72 Median $4.27 Typical High $6.46 | Professional | 81 · Minimal assistant surgeon | $3.72 | $4.27 | $6.46 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.72 Median $4.27 Typical High $6.46 | Professional | 82 · Assistant surgeon, no resident | $3.72 | $4.27 | $6.46 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.72 Median $4.27 Typical High $6.46 | Professional | AS · PA/NP assist | $3.72 | $4.27 | $6.46 |
Where South Carolina sits
The same service costs 2.1 times more in North Dakota than in Ohio. 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· 45th of 51
$33.11
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.