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 $758.58 Median $758.58 Typical High $758.58 | Facility | None | $758.58 | $758.58 | $758.58 |
Aetna Setting Professional Modifier None Typical Low $758.58 Median $758.58 Typical High $891.25 | Professional | None | $758.58 | $758.58 | $891.25 |
BCBS South Carolina Setting Professional Modifier None Typical Low $602.56 Median $602.56 Typical High $707.95 | Professional | None | $602.56 | $602.56 | $707.95 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $758.58 Median $1,148.15 Typical High $1,148.15 | Professional | 29 | $758.58 | $1,148.15 | $1,148.15 |
Cigna Setting Professional Modifier None Typical Low $870.96 Median $891.25 Typical High $1,318.26 | Professional | None | $870.96 | $891.25 | $1,318.26 |
Medcost Setting Professional Modifier None Typical Low $1,148.15 Median $1,148.15 Typical High $1,659.59 | Professional | None | $1,148.15 | $1,148.15 | $1,659.59 |
Medcost Setting Facility Modifier None Typical Low $758.58 Median $933.25 Typical High $2,454.71 | Facility | None | $758.58 | $933.25 | $2,454.71 |
Medcost Setting Professional Modifier None Typical Low $954.99 Median $1,047.13 Typical High $1,348.96 | Professional | None | $954.99 | $1,047.13 | $1,348.96 |
Molina Setting Professional Modifier None Typical Low $741.31 Median $933.25 Typical High $1,445.44 | Professional | None | $741.31 | $933.25 | $1,445.44 |
United Setting Professional Modifier None Typical Low $758.58 Median $891.25 Typical High $1,258.93 | Professional | None | $758.58 | $891.25 | $1,258.93 |
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 $831.76 Median $831.76 Typical High $831.76 | Professional | 25 · Same-day visit | $831.76 | $831.76 | $831.76 |
Medcost Setting Professional Modifier 51 · Multiple procedures Typical Low $478.63 Median $537.03 Typical High $794.33 | Professional | 51 · Multiple procedures | $478.63 | $537.03 | $794.33 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $190.55 Median $218.78 Typical High $316.23 | Professional | 80 · Assistant surgeon | $190.55 | $218.78 | $316.23 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | 81 · Minimal assistant surgeon | $134.90 | $151.36 | $223.87 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | 82 · Assistant surgeon, no resident | $134.90 | $151.36 | $223.87 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $134.90 Median $151.36 Typical High $223.87 | Professional | AS · PA/NP assist | $134.90 | $151.36 | $223.87 |
Where South Carolina sits
The same service costs 2.9 times more in Alaska than in Florida. 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
$871
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.