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 $131.83 Median $131.83 Typical High $199.53 | Facility | None | $131.83 | $131.83 | $199.53 |
Aetna Setting Professional Modifier None Typical Low $131.83 Median $131.83 Typical High $181.97 | Professional | None | $131.83 | $131.83 | $181.97 |
Ambetter Setting Professional Modifier None Typical Low $114.82 Median $147.91 Typical High $229.09 | Professional | None | $114.82 | $147.91 | $229.09 |
BCBS South Carolina Setting Facility Modifier None Typical Low $251.19 Median $562.34 Typical High $1,318.26 | Facility | None | $251.19 | $562.34 | $1,318.26 |
BCBS South Carolina Setting Professional Modifier None Typical Low $123.03 Median $123.03 Typical High $144.54 | Professional | None | $123.03 | $123.03 | $144.54 |
Cigna Setting Facility Modifier None Typical Low $1,023.29 Median $1,023.29 Typical High $2,238.72 | Facility | None | $1,023.29 | $1,023.29 | $2,238.72 |
Cigna Setting Professional Modifier None Typical Low $141.25 Median $165.96 Typical High $208.93 | Professional | None | $141.25 | $165.96 | $208.93 |
Medcost Setting Professional Modifier None Typical Low $218.78 Median $239.88 Typical High $281.84 | Professional | None | $218.78 | $239.88 | $281.84 |
Medcost Setting Facility Modifier None Typical Low $131.83 Median $144.54 Typical High $338.84 | Facility | None | $131.83 | $144.54 | $338.84 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $144.54 Typical High $257.04 | Professional | None | $141.25 | $144.54 | $257.04 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $154.88 Typical High $239.88 | Professional | None | $120.23 | $154.88 | $239.88 |
United Setting Facility Modifier None Typical Low $1,380.38 Median $1,698.24 Typical High $2,187.76 | Facility | None | $1,380.38 | $1,698.24 | $2,187.76 |
United Setting Professional Modifier None Typical Low $112.20 Median $138.04 Typical High $204.17 | Professional | None | $112.20 | $138.04 | $204.17 |
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 PD · Before inpatient admission Typical Low $173.78 Median $173.78 Typical High $173.78 | Professional | PD · Before inpatient admission | $173.78 | $173.78 | $173.78 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $70.79 Median $91.20 Typical High $125.89 | Professional | 51 · Multiple procedures | $70.79 | $91.20 | $125.89 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $28.18 Median $36.31 Typical High $51.29 | Professional | 80 · Assistant surgeon | $28.18 | $36.31 | $51.29 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $19.50 Median $25.12 Typical High $35.48 | Professional | 81 · Minimal assistant surgeon | $19.50 | $25.12 | $35.48 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $19.50 Median $25.12 Typical High $35.48 | Professional | 82 · Assistant surgeon, no resident | $19.50 | $25.12 | $35.48 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $19.50 Median $25.12 Typical High $35.48 | Professional | AS · PA/NP assist | $19.50 | $25.12 | $35.48 |
Where South Carolina sits
The same service costs 2.9 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
$141
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.