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 $64.57 Median $64.57 Typical High $83.18 | Facility | None | $64.57 | $64.57 | $83.18 |
Aetna Setting Professional Modifier None Typical Low $63.10 Median $64.57 Typical High $85.11 | Professional | None | $63.10 | $64.57 | $85.11 |
Ambetter Setting Professional Modifier None Typical Low $67.61 Median $77.62 Typical High $81.28 | Professional | None | $67.61 | $77.62 | $81.28 |
BCBS South Carolina Setting Facility Modifier None Typical Low $109.65 Median $229.09 Typical High $489.78 | Facility | None | $109.65 | $229.09 | $489.78 |
BCBS South Carolina Setting Professional Modifier None Typical Low $50.12 Median $61.66 Typical High $74.13 | Professional | None | $50.12 | $61.66 | $74.13 |
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 $69.18 Median $81.28 Typical High $102.33 | Professional | None | $69.18 | $81.28 | $102.33 |
Medcost Setting Professional Modifier None Typical Low $109.65 Median $117.49 Typical High $138.04 | Professional | None | $109.65 | $117.49 | $138.04 |
Medcost Setting Facility Modifier None Typical Low $64.57 Median $70.79 Typical High $169.82 | Facility | None | $64.57 | $70.79 | $169.82 |
Medcost Setting Professional Modifier None Typical Low $69.18 Median $70.79 Typical High $141.25 | Professional | None | $69.18 | $70.79 | $141.25 |
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 $54.95 Median $66.07 Typical High $97.72 | Professional | None | $54.95 | $66.07 | $97.72 |
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 $87.10 Median $87.10 Typical High $87.10 | Professional | PD · Before inpatient admission | $87.10 | $87.10 | $87.10 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $34.67 Median $44.67 Typical High $69.18 | Professional | 51 · Multiple procedures | $34.67 | $44.67 | $69.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.80 Median $17.78 Typical High $28.18 | Professional | 80 · Assistant surgeon | $13.80 | $17.78 | $28.18 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.77 Median $12.59 Typical High $19.50 | Professional | 81 · Minimal assistant surgeon | $9.77 | $12.59 | $19.50 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.77 Median $12.59 Typical High $19.50 | Professional | 82 · Assistant surgeon, no resident | $9.77 | $12.59 | $19.50 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.77 Median $12.59 Typical High $19.50 | Professional | AS · PA/NP assist | $9.77 | $12.59 | $19.50 |
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· 42nd of 51
$70.79
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.