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 $25.12 Median $27.54 Typical High $44.67 | Facility | None | $25.12 | $27.54 | $44.67 |
Aetna Setting Professional Modifier None Typical Low $25.12 Median $27.54 Typical High $31.62 | Professional | None | $25.12 | $27.54 | $31.62 |
Ambetter Setting Professional Modifier None Typical Low $23.99 Median $30.90 Typical High $50.12 | Professional | None | $23.99 | $30.90 | $50.12 |
BCBS South Carolina Setting Facility Modifier None Typical Low $36.31 Median $57.54 Typical High $141.25 | Facility | None | $36.31 | $57.54 | $141.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $31.62 | Professional | None | $29.51 | $29.51 | $31.62 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $21.38 Median $25.12 Typical High $28.18 | Professional | 29 | $21.38 | $25.12 | $28.18 |
Cigna Setting Professional Modifier None Typical Low $21.88 Median $22.91 Typical High $33.88 | Professional | None | $21.88 | $22.91 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $22.91 Median $30.20 Typical High $52.48 | Professional | None | $22.91 | $30.20 | $52.48 |
Medcost Setting Facility Modifier None Typical Low $25.12 Median $28.18 Typical High $33.88 | Facility | None | $25.12 | $28.18 | $33.88 |
Medcost Setting Professional Modifier None Typical Low $23.44 Median $27.54 Typical High $31.62 | Professional | None | $23.44 | $27.54 | $31.62 |
Molina Setting Professional Modifier None Typical Low $33.11 Median $41.69 Typical High $66.07 | Professional | None | $33.11 | $41.69 | $66.07 |
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 $18.62 Median $25.12 Typical High $33.11 | Professional | None | $18.62 | $25.12 | $33.11 |
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 $11.75 Median $13.80 Typical High $19.95 | Professional | 51 · Multiple procedures | $11.75 | $13.80 | $19.95 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $4.68 Median $5.50 Typical High $7.94 | Professional | 80 · Assistant surgeon | $4.68 | $5.50 | $7.94 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $3.24 Median $3.89 Typical High $5.62 | Professional | 81 · Minimal assistant surgeon | $3.24 | $3.89 | $5.62 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $3.24 Median $3.89 Typical High $5.62 | Professional | 82 · Assistant surgeon, no resident | $3.24 | $3.89 | $5.62 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $3.24 Median $3.89 Typical High $5.62 | Professional | AS · PA/NP assist | $3.24 | $3.89 | $5.62 |
Where South Carolina sits
The same service costs 3.0 times more in Alaska than in New Jersey. 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· 42nd 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.