How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $125.89 Median $125.89 Typical High $125.89 | Facility | None | $125.89 | $125.89 | $125.89 |
Aetna Setting Professional Modifier None Typical Low $123.03 Median $125.89 Typical High $125.89 | Professional | None | $123.03 | $125.89 | $125.89 |
BCBS South Carolina Setting Facility Modifier None Typical Low $30.20 Median $31.62 Typical High $36.31 | Facility | None | $30.20 | $31.62 | $36.31 |
BCBS South Carolina Setting Professional Modifier None Typical Low $112.20 Median $112.20 Typical High $120.23 | Professional | None | $112.20 | $112.20 | $120.23 |
Cigna Setting Professional Modifier None Typical Low $114.82 Median $131.83 Typical High $218.78 | Professional | None | $114.82 | $131.83 | $218.78 |
Medcost Setting Facility Modifier None Typical Low $125.89 Median $128.82 Typical High $331.13 | Facility | None | $125.89 | $128.82 | $331.13 |
Medcost Setting Professional Modifier None Typical Low $31.62 Median $32.36 Typical High $141.25 | Professional | None | $31.62 | $32.36 | $141.25 |
Molina Setting Professional Modifier None Typical Low $120.23 Median $151.36 Typical High $223.87 | Professional | None | $120.23 | $151.36 | $223.87 |
United Setting Professional Modifier None Typical Low $85.11 Median $114.82 Typical High $173.78 | Professional | None | $85.11 | $114.82 | $173.78 |
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 $61.66 Median $63.10 Typical High $63.10 | Professional | 52 · Reduced service | $61.66 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $24.55 Median $25.12 Typical High $25.12 | Professional | 53 · Discontinued | $24.55 | $25.12 | $25.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $15.49 Median $15.85 Typical High $89.13 | Professional | 51 · Multiple procedures | $15.49 | $15.85 | $89.13 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $6.31 Median $6.46 Typical High $35.48 | Professional | 80 · Assistant surgeon | $6.31 | $6.46 | $35.48 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $4.37 Median $4.47 Typical High $24.55 | Professional | 81 · Minimal assistant surgeon | $4.37 | $4.47 | $24.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $4.37 Median $4.47 Typical High $24.55 | Professional | 82 · Assistant surgeon, no resident | $4.37 | $4.47 | $24.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $4.37 Median $4.47 Typical High $24.55 | Professional | AS · PA/NP assist | $4.37 | $4.47 | $24.55 |
Where South Carolina sits
The same service costs 21.4 times more in Alaska than in New York. 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· 33rd of 51
$123
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.