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 |
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 |
Cigna Setting Professional Modifier None Typical Low $10.47 Median $12.02 Typical High $13.18 | Professional | None | $10.47 | $12.02 | $13.18 |
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 $5.75 Median $5.75 Typical High $5.75 | Professional | None | $5.75 | $5.75 | $5.75 |
Molina Setting Professional Modifier None Typical Low $30.20 Median $30.20 Typical High $30.20 | Professional | None | $30.20 | $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 $4.79 Median $5.89 Typical High $9.12 | Professional | None | $4.79 | $5.89 | $9.12 |
United Setting Professional Modifier HN · Bachelor's level Typical Low $9.77 Median $9.77 Typical High $9.77 | Professional | HN · Bachelor's level | $9.77 | $9.77 | $9.77 |
United Setting Professional Modifier HO · Master's level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HO · Master's level | $11.48 | $11.48 | $11.48 |
United Setting Professional Modifier HP · Doctoral level Typical Low $11.48 Median $11.48 Typical High $11.48 | Professional | HP · Doctoral level | $11.48 | $11.48 | $11.48 |
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 |
|---|---|---|---|---|---|
BCBS South Carolina Setting Professional Modifier 29 Typical Low $13.49 Median $13.49 Typical High $14.13 | Professional | 29 | $13.49 | $13.49 | $14.13 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $2.88 Median $2.88 Typical High $2.88 | Professional | 51 · Multiple procedures | $2.88 | $2.88 | $2.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $1.15 Median $1.15 Typical High $1.15 | Professional | 80 · Assistant surgeon | $1.15 | $1.15 | $1.15 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 81 · Minimal assistant surgeon | $0.79 | $0.79 | $0.79 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | 82 · Assistant surgeon, no resident | $0.79 | $0.79 | $0.79 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $0.79 Median $0.79 Typical High $0.79 | Professional | AS · PA/NP assist | $0.79 | $0.79 | $0.79 |
Where South Carolina sits
The same service costs 12.9 times more in Maryland 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· 17th 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.