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 $11.75 Median $11.75 Typical High $13.49 | Facility | None | $11.75 | $11.75 | $13.49 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $13.49 Typical High $14.13 | Professional | None | $11.75 | $13.49 | $14.13 |
Ambetter Setting Professional Modifier None Typical Low $11.22 Median $11.22 Typical High $11.22 | Professional | None | $11.22 | $11.22 | $11.22 |
BCBS South Carolina Setting Professional Modifier None Typical Low $22.39 Median $33.11 Typical High $34.67 | Professional | None | $22.39 | $33.11 | $34.67 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $10.23 Median $13.18 Typical High $15.14 | Professional | 29 | $10.23 | $13.18 | $15.14 |
Cigna Setting Professional Modifier None Typical Low $11.75 Median $12.30 Typical High $19.50 | Professional | None | $11.75 | $12.30 | $19.50 |
Medcost Setting Professional Modifier None Typical Low $14.13 Median $17.78 Typical High $25.70 | Professional | None | $14.13 | $17.78 | $25.70 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $14.13 Typical High $16.60 | Facility | None | $11.75 | $14.13 | $16.60 |
Medcost Setting Professional Modifier None Typical Low $13.80 Median $14.13 Typical High $17.78 | Professional | None | $13.80 | $14.13 | $17.78 |
Molina Setting Professional Modifier None Typical Low $8.91 Median $9.55 Typical High $12.02 | Professional | None | $8.91 | $9.55 | $12.02 |
United Setting Facility Modifier None Typical Low $10.23 Median $10.23 Typical High $11.48 | Facility | None | $10.23 | $10.23 | $11.48 |
United Setting Professional Modifier None Typical Low $10.23 Median $12.59 Typical High $17.78 | Professional | None | $10.23 | $12.59 | $17.78 |
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 $6.92 Median $7.08 Typical High $10.23 | Professional | 51 · Multiple procedures | $6.92 | $7.08 | $10.23 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.82 Median $2.82 Typical High $4.07 | Professional | 80 · Assistant surgeon | $2.82 | $2.82 | $4.07 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.95 Median $2.00 Typical High $2.82 | Professional | 81 · Minimal assistant surgeon | $1.95 | $2.00 | $2.82 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.95 Median $2.00 Typical High $2.82 | Professional | 82 · Assistant surgeon, no resident | $1.95 | $2.00 | $2.82 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.95 Median $2.00 Typical High $2.82 | Professional | AS · PA/NP assist | $1.95 | $2.00 | $2.82 |
Where South Carolina sits
The same service costs 3.2 times more in Alaska than in New York. 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· 43rd of 51
$12.88
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.