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 $17.78 Median $18.20 Typical High $25.12 | Professional | None | $17.78 | $18.20 | $25.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $34.67 Median $38.02 Typical High $89.13 | Facility | None | $34.67 | $38.02 | $89.13 |
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 $37.15 | Professional | None | $19.05 | $19.05 | $37.15 |
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 $37.15 Median $37.15 Typical High $37.15 | Professional | None | $37.15 | $37.15 | $37.15 |
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 $158.49 Median $190.55 Typical High $251.19 | Facility | None | $158.49 | $190.55 | $251.19 |
United Setting Professional Modifier None Typical Low $30.90 Median $37.15 Typical High $56.23 | Professional | None | $30.90 | $37.15 | $56.23 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $14.79 Median $14.79 Typical High $14.79 | Professional | HN · Bachelor's level | $14.79 | $14.79 | $14.79 |
United Setting Professional Modifier HO · Master's level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HO · Master's level | $17.38 | $17.38 | $17.38 |
United Setting Professional Modifier HP · Doctoral level Typical Low $17.38 Median $17.38 Typical High $17.38 | Professional | HP · Doctoral level | $17.38 | $17.38 | $17.38 |
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 $18.62 Median $18.62 Typical High $18.62 | Professional | 51 · Multiple procedures | $18.62 | $18.62 | $18.62 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.41 Median $7.41 Typical High $7.41 | Professional | 80 · Assistant surgeon | $7.41 | $7.41 | $7.41 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 81 · Minimal assistant surgeon | $5.25 | $5.25 | $5.25 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | 82 · Assistant surgeon, no resident | $5.25 | $5.25 | $5.25 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.25 Median $5.25 Typical High $5.25 | Professional | AS · PA/NP assist | $5.25 | $5.25 | $5.25 |
Where South Carolina sits
The same service costs 4.7 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· 40th 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.