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 $281.84 Median $281.84 Typical High $281.84 | Facility | None | $281.84 | $281.84 | $281.84 |
Aetna Setting Professional Modifier None Typical Low $281.84 Median $281.84 Typical High $331.13 | Professional | None | $281.84 | $281.84 | $331.13 |
Ambetter Setting Professional Modifier None Typical Low $331.13 Median $331.13 Typical High $331.13 | Professional | None | $331.13 | $331.13 | $331.13 |
BCBS South Carolina Setting Professional Modifier None Typical Low $173.78 Median $173.78 Typical High $204.17 | Professional | None | $173.78 | $173.78 | $204.17 |
BCBS South Carolina Setting Professional Modifier 29 Typical Low $302.00 Median $398.11 Typical High $398.11 | Professional | 29 | $302.00 | $398.11 | $398.11 |
Cigna Setting Professional Modifier None Typical Low $323.59 Median $323.59 Typical High $478.63 | Professional | None | $323.59 | $323.59 | $478.63 |
Medcost Setting Professional Modifier None Typical Low $416.87 Median $416.87 Typical High $630.96 | Professional | None | $416.87 | $416.87 | $630.96 |
Medcost Setting Facility Modifier None Typical Low $281.84 Median $346.74 Typical High $912.01 | Facility | None | $281.84 | $346.74 | $912.01 |
Medcost Setting Professional Modifier None Typical Low $346.74 Median $389.05 Typical High $446.68 | Professional | None | $346.74 | $389.05 | $446.68 |
Molina Setting Professional Modifier None Typical Low $316.23 Median $407.38 Typical High $630.96 | Professional | None | $316.23 | $407.38 | $630.96 |
United Setting Professional Modifier None Typical Low $281.84 Median $338.84 Typical High $489.78 | Professional | None | $281.84 | $338.84 | $489.78 |
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 $173.78 Median $199.53 Typical High $245.47 | Professional | 51 · Multiple procedures | $173.78 | $199.53 | $245.47 |
Medcost Setting Professional Modifier 80 · Assistant surgeon Typical Low $69.18 Median $79.43 Typical High $97.72 | Professional | 80 · Assistant surgeon | $69.18 | $79.43 | $97.72 |
Medcost Setting Professional Modifier 81 · Minimal assistant surgeon Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | 81 · Minimal assistant surgeon | $48.98 | $54.95 | $67.61 |
Medcost Setting Professional Modifier 82 · Assistant surgeon, no resident Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | 82 · Assistant surgeon, no resident | $48.98 | $54.95 | $67.61 |
Medcost Setting Professional Modifier AS · PA/NP assist Typical Low $48.98 Median $54.95 Typical High $67.61 | Professional | AS · PA/NP assist | $48.98 | $54.95 | $67.61 |
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· 38th of 51
$331
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.