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 $15.85 Median $16.22 Typical High $61.66 | Facility | None | $15.85 | $16.22 | $61.66 |
Aetna Setting Professional Modifier None Typical Low $15.85 Median $16.22 Typical High $16.98 | Professional | None | $15.85 | $16.22 | $16.98 |
BCBS South Carolina Setting Facility Modifier None Typical Low $29.51 Median $29.51 Typical High $64.57 | Facility | None | $29.51 | $29.51 | $64.57 |
BCBS South Carolina Setting Professional Modifier None Typical Low $19.50 Median $28.84 Typical High $28.84 | Professional | None | $19.50 | $28.84 | $28.84 |
Cigna Setting Professional Modifier None Typical Low $16.60 Median $20.89 Typical High $20.89 | Professional | None | $16.60 | $20.89 | $20.89 |
Medcost Setting Facility Modifier None Typical Low $16.22 Median $19.50 Typical High $61.66 | Facility | None | $16.22 | $19.50 | $61.66 |
Medcost Setting Professional Modifier None Typical Low $17.78 Median $19.95 Typical High $28.18 | Professional | None | $17.78 | $19.95 | $28.18 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $42.66 Typical High $66.07 | Professional | None | $33.11 | $42.66 | $66.07 |
United Setting Facility Modifier None Typical Low $19.50 Median $19.50 Typical High $21.88 | Facility | None | $19.50 | $19.50 | $21.88 |
United Setting Professional Modifier None Typical Low $19.50 Median $23.44 Typical High $29.51 | Professional | None | $19.50 | $23.44 | $29.51 |
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 GP · Physical therapy plan Typical Low $19.95 Median $19.95 Typical High $23.44 | Professional | GP · Physical therapy plan | $19.95 | $19.95 | $23.44 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $8.91 Median $10.00 Typical High $16.60 | Professional | 51 · Multiple procedures | $8.91 | $10.00 | $16.60 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $3.55 Median $4.07 Typical High $6.61 | Professional | 80 · Assistant surgeon | $3.55 | $4.07 | $6.61 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $2.51 Median $2.82 Typical High $4.68 | Professional | 81 · Minimal assistant surgeon | $2.51 | $2.82 | $4.68 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $2.51 Median $2.82 Typical High $4.68 | Professional | 82 · Assistant surgeon, no resident | $2.51 | $2.82 | $4.68 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $2.51 Median $2.82 Typical High $4.68 | Professional | AS · PA/NP assist | $2.51 | $2.82 | $4.68 |
Where South Carolina sits
The same service costs 3.3 times more in Alaska than in Delaware. 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· 31st of 51
$19.50
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.