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 $72.44 Median $72.44 Typical High $107.15 | Facility | None | $72.44 | $72.44 | $107.15 |
Aetna Setting Professional Modifier None Typical Low $72.44 Median $72.44 Typical High $91.20 | Professional | None | $72.44 | $72.44 | $91.20 |
Ambetter Setting Professional Modifier None Typical Low $63.10 Median $79.43 Typical High $104.71 | Professional | None | $63.10 | $79.43 | $104.71 |
BCBS South Carolina Setting Facility Modifier None Typical Low $69.18 Median $128.82 Typical High $245.47 | Facility | None | $69.18 | $128.82 | $245.47 |
BCBS South Carolina Setting Professional Modifier None Typical Low $6.03 Median $54.95 Typical High $66.07 | Professional | None | $6.03 | $54.95 | $66.07 |
Cigna Setting Facility Modifier None Typical Low $223.87 Median $223.87 Typical High $478.63 | Facility | None | $223.87 | $223.87 | $478.63 |
Cigna Setting Professional Modifier None Typical Low $64.57 Median $67.61 Typical High $109.65 | Professional | None | $64.57 | $67.61 | $109.65 |
Medcost Setting Professional Modifier None Typical Low $85.11 Median $91.20 Typical High $158.49 | Professional | None | $85.11 | $91.20 | $158.49 |
Medcost Setting Facility Modifier None Typical Low $72.44 Median $81.28 Typical High $190.55 | Facility | None | $72.44 | $81.28 | $190.55 |
Medcost Setting Professional Modifier None Typical Low $57.54 Median $67.61 Typical High $109.65 | Professional | None | $57.54 | $67.61 | $109.65 |
Molina Setting Professional Modifier None Typical Low $60.26 Median $77.62 Typical High $120.23 | Professional | None | $60.26 | $77.62 | $120.23 |
United Setting Facility Modifier None Typical Low $302.00 Median $363.08 Typical High $478.63 | Facility | None | $302.00 | $363.08 | $478.63 |
United Setting Professional Modifier None Typical Low $56.23 Median $69.18 Typical High $97.72 | Professional | None | $56.23 | $69.18 | $97.72 |
5 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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $28.84 Median $33.11 Typical High $70.79 | Professional | 51 · Multiple procedures | $28.84 | $33.11 | $70.79 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $11.48 Median $13.49 Typical High $28.18 | Professional | 80 · Assistant surgeon | $11.48 | $13.49 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $7.94 Median $9.33 Typical High $19.95 | Professional | 81 · Minimal assistant surgeon | $7.94 | $9.33 | $19.95 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $7.94 Median $9.33 Typical High $19.95 | Professional | 82 · Assistant surgeon, no resident | $7.94 | $9.33 | $19.95 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $7.94 Median $9.33 Typical High $19.95 | Professional | AS · PA/NP assist | $7.94 | $9.33 | $19.95 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in Florida. 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
$69.18
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.