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 $10.00 Median $10.00 Typical High $10.00 | Facility | None | $10.00 | $10.00 | $10.00 |
Aetna Setting Professional Modifier None (both parts) Typical Low $10.00 Median $10.00 Typical High $12.02 | Professional | None (both parts) | $10.00 | $10.00 | $12.02 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $42.66 Typical High $100.00 | Facility | None | $20.89 | $42.66 | $100.00 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $13.49 Typical High $15.14 | Professional | None (both parts) | $12.02 | $13.49 | $15.14 |
Cigna Setting Professional Modifier None (both parts) Typical Low $10.23 Median $10.96 Typical High $14.79 | Professional | None (both parts) | $10.23 | $10.96 | $14.79 |
Medcost Setting Facility Modifier None Typical Low $10.00 Median $20.42 Typical High $38.02 | Facility | None | $10.00 | $20.42 | $38.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $13.49 Median $15.85 Typical High $19.95 | Professional | None (both parts) | $13.49 | $15.85 | $19.95 |
United Setting Facility Modifier None Typical Low $14.13 Median $14.13 Typical High $15.49 | Facility | None | $14.13 | $14.13 | $15.49 |
United Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.13 Typical High $17.38 | Professional | None (both parts) | $12.02 | $14.13 | $17.38 |
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 |
|---|---|---|---|---|---|
Medcost Setting Professional Modifier 26 · Professional part Typical Low $5.62 Median $6.31 Typical High $9.77 | Professional | 26 · Professional part | $5.62 | $6.31 | $9.77 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $7.08 Median $7.94 Typical High $11.22 | Professional | 51 · Multiple procedures | $7.08 | $7.94 | $11.22 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.82 Median $3.16 Typical High $4.47 | Professional | 80 · Assistant surgeon | $2.82 | $3.16 | $4.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $2.24 Typical High $3.16 | Professional | 81 · Minimal assistant surgeon | $1.95 | $2.24 | $3.16 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $2.24 Typical High $3.16 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $2.24 | $3.16 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $2.24 Typical High $3.16 | Professional | AS · PA/NP assist | $1.95 | $2.24 | $3.16 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $8.32 Median $9.55 Typical High $14.45 | Professional | TC · Technical part | $8.32 | $9.55 | $14.45 |
Where South Carolina sits
The same service costs 2.7 times more in Alaska than in Ohio. 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· 39th of 51
$13.18
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.