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 $14.45 Typical High $22.91 | Facility | None | $11.75 | $14.45 | $22.91 |
Aetna Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $16.22 | Professional | None | $11.75 | $14.45 | $16.22 |
Ambetter Setting Professional Modifier None Typical Low $11.48 Median $15.49 Typical High $22.91 | Professional | None | $11.48 | $15.49 | $22.91 |
BCBS South Carolina Setting Facility Modifier None Typical Low $33.11 Median $57.54 Typical High $141.25 | Facility | None | $33.11 | $57.54 | $141.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $12.30 Median $13.49 Typical High $16.22 | Professional | None | $12.30 | $13.49 | $16.22 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $10.47 Median $12.02 Typical High $14.79 | Professional | 29 | $10.47 | $12.02 | $14.79 |
Cigna Setting Professional Modifier None Typical Low $10.96 Median $11.48 Typical High $16.98 | Professional | None | $10.96 | $11.48 | $16.98 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $15.14 Typical High $28.18 | Professional | None | $11.75 | $15.14 | $28.18 |
Medcost Setting Facility Modifier None Typical Low $11.75 Median $14.45 Typical High $17.78 | Facility | None | $11.75 | $14.45 | $17.78 |
Medcost Setting Professional Modifier None Typical Low $11.75 Median $14.45 Typical High $19.95 | Professional | None | $11.75 | $14.45 | $19.95 |
Molina Setting Professional Modifier None Typical Low $10.00 Median $165.96 Typical High $239.88 | Professional | None | $10.00 | $165.96 | $239.88 |
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 $9.33 Median $12.02 Typical High $16.60 | Professional | None | $9.33 | $12.02 | $16.60 |
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 |
|---|---|---|---|---|---|
Ambetter Setting Professional Modifier 25 · Same-day visit Typical Low $12.59 Median $14.79 Typical High $26.92 | Professional | 25 · Same-day visit | $12.59 | $14.79 | $26.92 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $5.89 Median $7.24 Typical High $10.72 | Professional | 51 · Multiple procedures | $5.89 | $7.24 | $10.72 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $2.34 Median $2.88 Typical High $4.47 | Professional | 80 · Assistant surgeon | $2.34 | $2.88 | $4.47 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $1.62 Median $2.04 Typical High $3.09 | Professional | 81 · Minimal assistant surgeon | $1.62 | $2.04 | $3.09 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $1.62 Median $2.04 Typical High $3.09 | Professional | 82 · Assistant surgeon, no resident | $1.62 | $2.04 | $3.09 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $1.62 Median $2.04 Typical High $3.09 | Professional | AS · PA/NP assist | $1.62 | $2.04 | $3.09 |
Where South Carolina sits
The same service costs 2.8 times more in Alaska than in Washington, DC. 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
$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.