How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. 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 $29.51 Median $29.51 Typical High $38.90 | Facility | None | $29.51 | $29.51 | $38.90 |
Aetna Setting Professional Modifier None Typical Low $29.51 Median $35.48 Typical High $38.90 | Professional | None | $29.51 | $35.48 | $38.90 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $14.79 Median $17.78 Typical High $19.50 | Professional | 52 · Reduced service | $14.79 | $17.78 | $19.50 |
Ambetter Setting Professional Modifier None Typical Low $40.74 Median $47.86 Typical High $47.86 | Professional | None | $40.74 | $47.86 | $47.86 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $30.20 Median $47.86 Typical High $47.86 | Professional | 29 | $30.20 | $47.86 | $47.86 |
Cigna Setting Professional Modifier None Typical Low $28.84 Median $38.02 Typical High $60.26 | Professional | None | $28.84 | $38.02 | $60.26 |
Medcost Setting Facility Modifier None Typical Low $32.36 Median $39.81 Typical High $95.50 | Facility | None | $32.36 | $39.81 | $95.50 |
Medcost Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $53.70 | Professional | None | $36.31 | $36.31 | $53.70 |
Molina Setting Professional Modifier None Typical Low $66.07 Median $104.71 Typical High $128.82 | Professional | None | $66.07 | $104.71 | $128.82 |
United Setting Professional Modifier None Typical Low $27.54 Median $37.15 Typical High $56.23 | Professional | None | $27.54 | $37.15 | $56.23 |
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 $18.20 Median $18.20 Typical High $33.88 | Professional | 51 · Multiple procedures | $18.20 | $18.20 | $33.88 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $7.24 Median $7.24 Typical High $13.49 | Professional | 80 · Assistant surgeon | $7.24 | $7.24 | $13.49 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $5.13 Median $5.13 Typical High $9.55 | Professional | 81 · Minimal assistant surgeon | $5.13 | $5.13 | $9.55 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $5.13 Median $5.13 Typical High $9.55 | Professional | 82 · Assistant surgeon, no resident | $5.13 | $5.13 | $9.55 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $5.13 Median $5.13 Typical High $9.55 | Professional | AS · PA/NP assist | $5.13 | $5.13 | $9.55 |
Where South Carolina sits
The same service costs 3.5 times more in Alaska than in Kentucky. 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· 25th of 51
$38.90
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.