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 $8.91 Median $8.91 Typical High $8.91 | Facility | None | $8.91 | $8.91 | $8.91 |
Aetna Setting Professional Modifier None (both parts) Typical Low $8.91 Median $8.91 Typical High $10.72 | Professional | None (both parts) | $8.91 | $8.91 | $10.72 |
BCBS South Carolina Setting Facility Modifier None Typical Low $20.89 Median $44.67 Typical High $85.11 | Facility | None | $20.89 | $44.67 | $85.11 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $12.02 Median $15.85 Typical High $15.85 | Professional | None (both parts) | $12.02 | $15.85 | $15.85 |
Cigna Setting Professional Modifier None (both parts) Typical Low $8.13 Median $10.00 Typical High $13.49 | Professional | None (both parts) | $8.13 | $10.00 | $13.49 |
Medcost Setting Facility Modifier None Typical Low $8.91 Median $10.72 Typical High $12.02 | Facility | None | $8.91 | $10.72 | $12.02 |
Medcost Setting Professional Modifier None (both parts) Typical Low $12.02 Median $14.13 Typical High $21.88 | Professional | None (both parts) | $12.02 | $14.13 | $21.88 |
Molina Setting Professional Modifier None (both parts) Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None (both parts) | $30.20 | $30.20 | $30.20 |
United Setting Professional Modifier None (both parts) Typical Low $20.89 Median $20.89 Typical High $20.89 | Professional | None (both parts) | $20.89 | $20.89 | $20.89 |
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 $4.79 Median $5.62 Typical High $9.12 | Professional | 26 · Professional part | $4.79 | $5.62 | $9.12 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $6.03 Median $7.08 Typical High $11.48 | Professional | 51 · Multiple procedures | $6.03 | $7.08 | $11.48 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.40 Median $2.82 Typical High $4.57 | Professional | 80 · Assistant surgeon | $2.40 | $2.82 | $4.57 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.70 Median $1.95 Typical High $3.24 | Professional | 81 · Minimal assistant surgeon | $1.70 | $1.95 | $3.24 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.70 Median $1.95 Typical High $3.24 | Professional | 82 · Assistant surgeon, no resident | $1.70 | $1.95 | $3.24 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.70 Median $1.95 Typical High $3.24 | Professional | AS · PA/NP assist | $1.70 | $1.95 | $3.24 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $7.24 Median $8.51 Typical High $13.18 | Professional | TC · Technical part | $7.24 | $8.51 | $13.18 |
Where South Carolina sits
The same service costs 10.5 times more in Colorado 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· 28th of 51
$12.02
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.