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 $22.91 Median $22.91 Typical High $25.12 | Facility | None | $22.91 | $22.91 | $25.12 |
Aetna Setting Professional Modifier None Typical Low $22.91 Median $23.99 Typical High $25.70 | Professional | None | $22.91 | $23.99 | $25.70 |
Ambetter Setting Professional Modifier None Typical Low $22.91 Median $22.91 Typical High $26.92 | Professional | None | $22.91 | $22.91 | $26.92 |
BCBS South Carolina Setting Professional Modifier None Typical Low $43.65 Median $58.88 Typical High $67.61 | Professional | None | $43.65 | $58.88 | $67.61 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $19.95 Median $25.70 Typical High $26.92 | Professional | 29 | $19.95 | $25.70 | $26.92 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $37.15 | Professional | None | $21.88 | $22.91 | $37.15 |
Medcost Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $48.98 | Professional | None | $26.92 | $33.11 | $48.98 |
Medcost Setting Facility Modifier None Typical Low $22.91 Median $27.54 Typical High $31.62 | Facility | None | $22.91 | $27.54 | $31.62 |
Medcost Setting Professional Modifier None Typical Low $26.30 Median $27.54 Typical High $32.36 | Professional | None | $26.30 | $27.54 | $32.36 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $40.74 Typical High $61.66 | Professional | None | $28.18 | $40.74 | $61.66 |
United Setting Facility Modifier None Typical Low $19.95 Median $19.95 Typical High $21.88 | Facility | None | $19.95 | $19.95 | $21.88 |
United Setting Professional Modifier None Typical Low $20.42 Median $24.55 Typical High $34.67 | Professional | None | $20.42 | $24.55 | $34.67 |
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 $13.18 Median $13.80 Typical High $19.05 | Professional | 51 · Multiple procedures | $13.18 | $13.80 | $19.05 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $5.25 Median $5.50 Typical High $7.59 | Professional | 80 · Assistant surgeon | $5.25 | $5.50 | $7.59 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.63 Median $3.80 Typical High $5.37 | Professional | 81 · Minimal assistant surgeon | $3.63 | $3.80 | $5.37 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.63 Median $3.80 Typical High $5.37 | Professional | 82 · Assistant surgeon, no resident | $3.63 | $3.80 | $5.37 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.63 Median $3.80 Typical High $5.37 | Professional | AS · PA/NP assist | $3.63 | $3.80 | $5.37 |
Where South Carolina sits
The same service costs 3.5 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· 39th of 51
$25.12
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.