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 $19.05 Median $19.05 Typical High $19.05 | Facility | None | $19.05 | $19.05 | $19.05 |
Aetna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $20.89 | Professional | None | $19.05 | $19.05 | $20.89 |
Ambetter Setting Professional Modifier None Typical Low $22.39 Median $23.44 Typical High $26.92 | Professional | None | $22.39 | $23.44 | $26.92 |
BCBS South Carolina Setting Facility Modifier None Typical Low $81.28 Median $107.15 Typical High $257.04 | Facility | None | $81.28 | $107.15 | $257.04 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $18.20 Median $18.20 Typical High $18.20 | Professional | 29 | $18.20 | $18.20 | $18.20 |
Cigna Setting Professional Modifier None Typical Low $19.05 Median $19.05 Typical High $34.67 | Professional | None | $19.05 | $19.05 | $34.67 |
Medcost Setting Facility Modifier None Typical Low $19.05 Median $22.91 Typical High $25.70 | Facility | None | $19.05 | $22.91 | $25.70 |
Medcost Setting Professional Modifier None Typical Low $35.48 Median $35.48 Typical High $36.31 | Professional | None | $35.48 | $35.48 | $36.31 |
Molina Setting Professional Modifier None Typical Low $21.38 Median $30.20 Typical High $30.20 | Professional | None | $21.38 | $30.20 | $30.20 |
United Setting Facility Modifier None Typical Low $741.31 Median $912.01 Typical High $1,174.90 | Facility | None | $741.31 | $912.01 | $1,174.90 |
United Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $53.70 | Professional | None | $30.20 | $36.31 | $53.70 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $16.60 Median $16.60 Typical High $16.60 | Professional | HN · Bachelor's level | $16.60 | $16.60 | $16.60 |
United Setting Professional Modifier HO · Master's level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HO · Master's level | $19.50 | $19.50 | $19.50 |
United Setting Professional Modifier HP · Doctoral level Typical Low $19.50 Median $19.50 Typical High $19.50 | Professional | HP · Doctoral level | $19.50 | $19.50 | $19.50 |
5 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 51 · Multiple procedures Typical Low $17.78 Median $17.78 Typical High $17.78 | Professional | 51 · Multiple procedures | $17.78 | $17.78 | $17.78 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $7.24 Typical High $7.24 | Professional | 80 · Assistant surgeon | $7.24 | $7.24 | $7.24 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 81 · Minimal assistant surgeon | $5.01 | $5.01 | $5.01 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | 82 · Assistant surgeon, no resident | $5.01 | $5.01 | $5.01 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.01 Median $5.01 Typical High $5.01 | Professional | AS · PA/NP assist | $5.01 | $5.01 | $5.01 |
Where South Carolina sits
The same service costs 3.4 times more in Wyoming than in Alabama. 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· 38th of 51
$19.05
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.