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 $32.36 Median $32.36 Typical High $34.67 | Facility | None | $32.36 | $32.36 | $34.67 |
Aetna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $35.48 | Professional | None | $32.36 | $33.88 | $35.48 |
Ambetter Setting Professional Modifier None Typical Low $28.18 Median $31.62 Typical High $37.15 | Professional | None | $28.18 | $31.62 | $37.15 |
BCBS South Carolina Setting Professional Modifier None Typical Low $48.98 Median $85.11 Typical High $85.11 | Professional | None | $48.98 | $85.11 | $85.11 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $28.84 Median $36.31 Typical High $38.90 | Professional | 29 | $28.84 | $36.31 | $38.90 |
Cigna Setting Professional Modifier None Typical Low $32.36 Median $33.88 Typical High $53.70 | Professional | None | $32.36 | $33.88 | $53.70 |
Medcost Setting Professional Modifier None Typical Low $39.81 Median $48.98 Typical High $72.44 | Professional | None | $39.81 | $48.98 | $72.44 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $39.81 Typical High $46.77 | Facility | None | $32.36 | $39.81 | $46.77 |
Medcost Setting Professional Modifier None Typical Low $38.90 Median $38.90 Typical High $45.71 | Professional | None | $38.90 | $38.90 | $45.71 |
Molina Setting Professional Modifier None Typical Low $28.18 Median $38.90 Typical High $60.26 | Professional | None | $28.18 | $38.90 | $60.26 |
United Setting Facility Modifier None Typical Low $28.84 Median $28.84 Typical High $31.62 | Facility | None | $28.84 | $28.84 | $31.62 |
United Setting Professional Modifier None Typical Low $30.20 Median $36.31 Typical High $51.29 | Professional | None | $30.20 | $36.31 | $51.29 |
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 $19.50 Median $19.95 Typical High $28.18 | Professional | 51 · Multiple procedures | $19.50 | $19.95 | $28.18 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.76 Median $7.94 Typical High $11.22 | Professional | 80 · Assistant surgeon | $7.76 | $7.94 | $11.22 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.50 Median $5.62 Typical High $7.94 | Professional | 81 · Minimal assistant surgeon | $5.50 | $5.62 | $7.94 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.50 Median $5.62 Typical High $7.94 | Professional | 82 · Assistant surgeon, no resident | $5.50 | $5.62 | $7.94 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.50 Median $5.62 Typical High $7.94 | Professional | AS · PA/NP assist | $5.50 | $5.62 | $7.94 |
Where South Carolina sits
The same service costs 3.7 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· 40th of 51
$34.67
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.