How much rates vary
Facilitymedian $372 · 10th to 90th $155 to $741Professionalmedian $102 · 10th to 90th $62 to $155
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 $102.33 Median $102.33 Typical High $102.33 | Facility | None | $102.33 | $102.33 | $102.33 |
Aetna Setting Professional Modifier None Typical Low $102.33 Median $102.33 Typical High $112.20 | Professional | None | $102.33 | $102.33 | $112.20 |
BCBS South Carolina Setting Facility Modifier None Typical Low $154.88 Median $371.54 Typical High $691.83 | Facility | None | $154.88 | $371.54 | $691.83 |
BCBS South Carolina Setting Professional Modifier None Typical Low $54.95 Median $61.66 Typical High $97.72 | Professional | None | $54.95 | $61.66 | $97.72 |
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 $104.71 Median $114.82 Typical High $154.88 | Professional | None | $104.71 | $114.82 | $154.88 |
Medcost Setting Professional Modifier None Typical Low $141.25 Median $158.49 Typical High $223.87 | Professional | None | $141.25 | $158.49 | $223.87 |
Medcost Setting Facility Modifier None Typical Low $102.33 Median $114.82 Typical High $269.15 | Facility | None | $102.33 | $114.82 | $269.15 |
Medcost Setting Professional Modifier None Typical Low $67.61 Median $114.82 Typical High $177.83 | Professional | None | $67.61 | $114.82 | $177.83 |
Molina Setting Professional Modifier None Typical Low $89.13 Median $117.49 Typical High $177.83 | Professional | None | $89.13 | $117.49 | $177.83 |
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 $85.11 Median $100.00 Typical High $144.54 | Professional | None | $85.11 | $100.00 | $144.54 |
9 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 $51.29 Median $51.29 Typical High $56.23 | Professional | 52 · Reduced service | $51.29 | $51.29 | $56.23 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.42 Median $20.42 Typical High $22.39 | Professional | 53 · Discontinued | $20.42 | $20.42 | $22.39 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $15.49 Median $15.49 Typical High $16.60 | Professional | 55 · Aftercare only | $15.49 | $15.49 | $16.60 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $10.23 Median $10.23 Typical High $11.22 | Professional | 56 · Pre-op care only | $10.23 | $10.23 | $11.22 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $33.88 Median $70.79 Typical High $87.10 | Professional | 51 · Multiple procedures | $33.88 | $70.79 | $87.10 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $13.49 Median $28.18 Typical High $35.48 | Professional | 80 · Assistant surgeon | $13.49 | $28.18 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $9.33 Median $19.95 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $9.33 | $19.95 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $9.33 Median $19.95 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $9.33 | $19.95 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $9.33 Median $19.95 Typical High $24.55 | Professional | AS · PA/NP assist | $9.33 | $19.95 | $24.55 |
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· 43rd of 51
$102
AK $275FL $91.20
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.