How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $45.71 Median $45.71 Typical High $45.71 | Facility | None | $45.71 | $45.71 | $45.71 |
Aetna Setting Professional Modifier None (both parts) Typical Low $45.71 Median $45.71 Typical High $54.95 | Professional | None (both parts) | $45.71 | $45.71 | $54.95 |
BCBS South Carolina Setting Professional Modifier None (both parts) Typical Low $35.48 Median $35.48 Typical High $35.48 | Professional | None (both parts) | $35.48 | $35.48 | $35.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | None (both parts) | $36.31 | $36.31 | $53.70 |
Medcost Setting Facility Modifier None Typical Low $42.66 Median $50.12 Typical High $61.66 | Facility | None | $42.66 | $50.12 | $61.66 |
Medcost Setting Professional Modifier None (both parts) Typical Low $39.81 Median $47.86 Typical High $75.86 | Professional | None (both parts) | $39.81 | $47.86 | $75.86 |
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 $40.74 Median $53.70 Typical High $61.66 | Professional | None (both parts) | $40.74 | $53.70 | $61.66 |
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 $15.85 Median $19.50 Typical High $44.67 | Professional | 26 · Professional part | $15.85 | $19.50 | $44.67 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $19.95 Median $23.99 Typical High $47.86 | Professional | 51 · Multiple procedures | $19.95 | $23.99 | $47.86 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.94 Median $9.77 Typical High $19.05 | Professional | 80 · Assistant surgeon | $7.94 | $9.77 | $19.05 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.62 Median $6.76 Typical High $13.18 | Professional | 81 · Minimal assistant surgeon | $5.62 | $6.76 | $13.18 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.62 Median $6.76 Typical High $13.18 | Professional | 82 · Assistant surgeon, no resident | $5.62 | $6.76 | $13.18 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.62 Median $6.76 Typical High $13.18 | Professional | AS · PA/NP assist | $5.62 | $6.76 | $13.18 |
Medcost Setting Professional Modifier TC · Technical part Typical Low $23.99 Median $28.84 Typical High $66.07 | Professional | TC · Technical part | $23.99 | $28.84 | $66.07 |
Where South Carolina sits
The same service costs 7.8 times more in Alaska than in Indiana. 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· 41st of 51
$45.71
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.